A Rheumatoid Nodule at the Sternoclavicular Joint: An uncommon presentation of a common problem

Abstract

Most rheumatoid nodules are found at joints or pressure points. They rarely require medical intervention and even fewer require surgery. A 78-year-old female developed a 7.2 x 3.2 x 2.8 cm rheumatoid nodule originating at the right sternoclavicular joint, a novel site for a common pathology. Management involved a complex differential diagnosis and surgical treatment was resection from adjacent vascular and neural structures. Following surgical excision, the patient maintained good mobility and sensation of the neck and surrounding areas.

Keywords

• rheumatoid nodule
• surgery
• thoracic surgery
• rheumatoid arthritis
• orthopedic surgery