{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:29:06Z","timestamp":1785227346551,"version":"3.55.0"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T00:00:00Z","timestamp":1647216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Tietze\u2019s syndrome (TS) is an inflammatory disorder characterised by painful, non-suppurative swelling in the sternocostal or sternoclavicular joint. The aetiology of TS is unknown. Herein, we described a case of isolated enthesitis in the sternocostal joint in a 42-year-old male patient whose clinical course led to the diagnosis of TS. A 42-year-old male Japanese patient (HLA-B27 negative) presented with chronic anterior chest wall pain. Mild swelling and tenderness were found in the right, third sternocostal joint (rt.3STCJ). No other arthralgia was present. Ultrasonography (US) of the rt.3STCJ showed hypoechoic thickening and power Doppler signal in the anterior radiate sternocostal ligament with mild synovial hypertrophy of the STCJ. US also depicted cortical bone erosion at the sternum with neovascularisation. Magnetic resonance imaging with T2-weighted short-tau inversion recovery showed high signal intensity in the bone marrow of the sternum and adjacent soft tissue around the rt.3STCJ. Based on these findings, TS with the enthesitis in the rt.3STCJ was diagnosed. The patient received a US-guided corticosteroid injection, and the symptoms completely resolved 10\u00a0months later. Enthesitis may cause TS. US is a readily available, sensitive imaging technique useful for diagnosing TS.<\/jats:p>","DOI":"10.1093\/mrcr\/rxac022","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T08:20:44Z","timestamp":1647246044000},"page":"223-226","source":"Crossref","is-referenced-by-count":2,"title":["Tietze\u2019s syndrome presenting as enthesitis diagnosed by ultrasound: A case report"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8724-6393","authenticated-orcid":false,"given":"Yuji","family":"Miyoshi","sequence":"first","affiliation":[{"name":"Department of Rheumatic Diseases, Tokyo Metropolitan Tama Medical Center , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Misaki","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Kita-Harima Medical Center , Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,3,14]]},"reference":[{"key":"2023010315421181400_R1","first-page":"407","article-title":"Tietze\u2019s syndrome: a critical review","volume":"8","author":"Aeschlimann","year":"1990","journal-title":"Clin Exp Rheumatol"},{"key":"2023010315421181400_R2","first-page":"180","article-title":"What do we know about Tietze\u2019s syndrome?","volume":"15","author":"Rokicki","year":"2018","journal-title":"Kardiochir Torakochirurgia Pol"},{"key":"2023010315421181400_R3","article-title":"When chest pain is not \u201cjust\u201d Tietze\u2019s syndrome: a case of non-Hodgkin\u2019s lymphoma","volume":"37","author":"Cipolletta","year":"2019","journal-title":"Clin Exp Rheumatol"},{"key":"2023010315421181400_R4","doi-asserted-by":"crossref","first-page":"3113","DOI":"10.1093\/rheumatology\/keaa145","article-title":"Anterior chest wall involvement in psoriatic arthritis: a forgotten entity?","volume":"59","author":"Fragoulis","year":"2020","journal-title":"Rheumatology (Oxford)"},{"key":"2023010315421181400_R5","doi-asserted-by":"crossref","first-page":"2531","DOI":"10.1007\/s00296-010-1397-2","article-title":"Non-Hodgkin\u2019s lymphoma at the medial clavicular head mimicking Tietze Syndrome","volume":"32","author":"Jeon","year":"2012","journal-title":"Rheumatol Int"},{"key":"2023010315421181400_R6","article-title":"Osteoarthritis of the manubriosternal joint: an uncommon cause of chest pain","volume":"7","author":"Vaishya","year":"2015","journal-title":"Cureus"},{"key":"2023010315421181400_R7","article-title":"The coexistence of SAPHO syndrome and rheumatoid arthritis: a case report","volume":"96","author":"Xu","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"2023010315421181400_R8","first-page":"402","article-title":"Imaging of sternocostoclavicular joint in spondyloarthropaties and other rheumatic conditions","volume":"27","author":"Guglielmi","year":"2009","journal-title":"Clin Exp Rheumatol"},{"key":"2023010315421181400_R9","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s00256-007-0277-7","article-title":"MRI findings of prolonged post-traumatic sternal pain","volume":"36","author":"Grosse","year":"2007","journal-title":"Skeletal Radiol"},{"key":"2023010315421181400_R10","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1148\/rg.293055136","article-title":"Imaging appearances of the sternum and sternoclavicular joints","volume":"29","author":"Restrepo","year":"2009","journal-title":"Radiographics"},{"key":"2023010315421181400_R11","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1093\/rheumatology\/36.5.547","article-title":"Ultrasonographic assessment of local steroid injection in Tietze\u2019s syndrome","volume":"36","author":"Kamel","year":"1997","journal-title":"Br J Rheumatol"},{"key":"2023010315421181400_R12","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1097\/00003072-198908000-00011","article-title":"Scintigraphic and CT findings of Tietze\u2019s syndrome: report of a case and review of the literature","volume":"14","author":"Honda","year":"1989","journal-title":"Clin Nucl Med"},{"key":"2023010315421181400_R13","first-page":"848","article-title":"Magnetic resonance imaging in Tietze\u2019s syndrome","volume":"26","author":"Volterrani","year":"2008","journal-title":"Clin Exp Rheumatol"},{"key":"2023010315421181400_R14","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1016\/0002-9343(56)90111-5","article-title":"Tietze\u2019s syndrome; 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