TY - JOUR T1 - Tietze Sendromu: Bir Olgu Sunumu TT - Tietze’s Syndrome: A Case Report AU - Durmaz, Havva Öztürk AU - Erdem, Hatice Rana PY - 2021 DA - August DO - 10.51261/yiu.2021.00032 JF - Yüksek İhtisas Üniversitesi Sağlık Bilimleri Dergisi JO - YIU Saglik Bil Derg PB - Yüksek İhtisas Üniversitesi WT - DergiPark SN - 2717-8439 SP - 63 EP - 66 VL - 2 IS - 2 LA - tr AB - Tietze sendromu TS , genellikle kostosternal, kostokondral ve sternoklaviküler eklemlerde hassasiyet, ağrı ve non-pürülanşişlik ile karakterize nadir görülen bir inflamatuvarartropatidir. Sıklıkla kostosternal eklemleri tutar ve sternoklaviküler eklem tutulumu nadirdir. Bu olgu sunumunda yaklaşık 2 yıldır göğüs ön duvarı sağ üst bölümünde ağrı ve şişlik şikayeti olan 72 yaş kadın hastayı sunuyoruz. Yapılan fizik muayenede sağ sternoklaviküler eklemde hassasiyet ve yaklaşık 2x2 cm’lik orta sertlikte şişlik saptandı. Şişlik olan bölgeye yapılan ultrasonik görüntülemede sağ sternoklaviküler eklem bölgesinde ekojenite artışı ve ödem saptandı. Laboratuvar bulguları normaldi. Hastaya TS tanısı kondu ve kortikosteroid ve lokal anestezik karışımından lokal enjeksiyon yapıldı. Hastanın şikayetleri infiltrasyon sonrası belirgin şekilde azaldı. Bu olgu sunumunda sternoklaviküler eklem tutumlu ve lokal enjeksiyon ile tedavi ettiğimiz TS olgusunu sunuyoruz. KW - Tietze sendromu KW - sternoklaviküler eklem KW - kostokondri N2 - Tietze syndrome TS is a rare inflammatory arthropathy characterized by tenderness, pain, and non-purulent swelling of the costosternal, costochondral and sternoclavicular joints. It often involves the costosternal joints and sternoclavicular jointinvolvement is rare. In this case report, we present a 72-year-old female patient suffering from pain and swelling in the right upper chest wall fo rabout 2 years. Physical examination revealed tenderness in the right sternoclavicular joint and an approximately 2x2 cm moderate swelling. Ultrasonic imaging of the swelling area revealed increased echogenicity and edema in the right sternoclavicular joint area. Laboratory findings were normal. The patient was diagnosed with TS and a local injection of a corticosteroid and local anesthetic mixture was administered. The patient’s complaints decreased significantly after the infiltration. In this case report, we present a TS case with sternoclavicular joint involvement that we treated with local injection. CR - Rokicki W, Rokicki M, Rydel M. What do we know about Tietze’s syndrome? Kardiochir Torakochirurgia Pol. 2018; 15:180-182. [crossref] CR - Semble EL, Wise C. Chest Pain: A rheumatologist’s perspective. South Med J 1988; 81:64-68. [crossref] CR - Gregory PL, Biswas AC, Batt ME. Musculo skeletal problems of the chestwall in athletes. Sports Med. 2002;32:235-50. CR - Boehme MWJ, Scherbaum WA, Pfeiffer EF. Tietze’s syndrome - a chameleon under the thoracic abdominal pain syndroms. Clin Wochenschr 1988; 66: 1142- 1145. [crossref] CR - Giovanni R. Effects of human calsitonin on pain in the treatment of Tietze’s Syndrome. Clin Ther. 1985; 7:669-673. PMID: 4075361 CR - Aeschlimann A, Kahn MF. Tietze’s syndrome: a critical review. Clin Exp Rheumatol. 1990; 8:407-412. PMID: 1697801 CR - Kumar VA, Babu JN. Refractory Tietze’s syndrome occurring after lumbar spine surgery in prone position. Indian J Orthop. 2019; 53:574–577. [crossref] CR - Fam AG. Smythe HA. Musculoskeletal Chest Wall Pain. Can Med Assoc 1985; 133:379-389. PMID: 4027804 CR - Do W et al. Atypical Tietze’s Syndrome Misdiagnosed as Atypical Chest Pain: Letter to the Editor. Pain Med. 2018 ;19:813-815. [crossref] CR - Cho JY, Park D. Ultrasound-Guided corticosteroid injection in a patient with Tietze syndrome combined with costochondral joint swelling. Am J Phys Med Rehabil. 2019; 98:71-73. [crossref] CR - Rosenberg M, Conermann T.TietzeSyndrome. Stat Pearls Publishing LLC. Bookshelf ID: NBK564363, PMID: 33232033. October 21, 2020. CR - Pinals RS. Traumatic Arthritis and Allied Conditions. In: McCarty DJ. Hollander JL. eds. Arthritis and Allied Conditions. Philadelphia: WB Saunders. 1989: 626. CR - Gologorsky R, Hornik B, Velotta J. Surgical management of medically refractory Tietze syndrome. Ann Thorac Surg. 2017; 104:443-445. [crossref] CR - Şentürk E, Şahin E, Serter S. Prolotherapy: An effective therapy for Tietze syndrome. J Back Musculoskelet Rehabil. 2017; 30:975-978. [crossref] UR - https://doi.org/10.51261/yiu.2021.00032 L1 - https://dergipark.org.tr/tr/download/article-file/3782984 ER -