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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 10, 1336-1339.
doi: 10.1302/0301-620X.89B10.19721  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Osteoarthritis of the costovertebral joints

THE RESULTS OF RESECTION ARTHROPLASTY

J. R. Sales, MD, Resident Orthopaedic Surgeon1; R. K. Beals, MD, Professor1; and R. A. Hart, MD, Associate Professor1

1 Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, 3181 SW Sam, Jackson Park Road OP31, Portland, Oregon 97239, USA.

Correspondence should be sent to Dr R. A. Hart; e-mail: hartro{at}ohsu.edu

Thoracic back pain caused by osteoarthritis of a single costovertebral joint is a poorly recognised condition. We report a series of five patients who were successfully treated by resection arthroplasty of this joint.

Each had received a preliminary image-guided injection of local anaesthetic and steroid into the joint to confirm it as the source of pain. The surgical technique is described. There were no complications. The pain improved from a mean of 7.0 (6 to 8) on a visual analogue scale to 2.0 (0 to 4) post-operatively. The final post-operative Oswestry disability index was a mean of 19.4 (9 to 38).

Isolated osteoarthritis of a costovertebral joint is a rare but treatable cause of thoracic back pain. It is possible to obtain excellent short- and intermediate-term relief from pain with resection arthroplasty in appropriately selected patients.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General