AUTHOR=Bar-Haim Ronit , Shtarker Haim , Biswas Seema , Waksman Igor , Altman Edward 

TITLE=Case Report: Surgical Management of Painful Manubriosternal Pseudoarthrosis

JOURNAL=Frontiers in Surgery

VOLUME=Volume 8 - 2021

YEAR=2021

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2021.640089

DOI=10.3389/fsurg.2021.640089

ISSN=2296-875X

ABSTRACT=A 31-year-old male amateur bodybuilder presented with a two-year history of chronic pain over the sternum and a clicking sensation in the chest wall on movement. Ultrasound, computer tomography (CT), and magnetic resonance imaging, (MRI), showed no cause for his symptoms. Dynamic ultrasound scan performed at a specialist sports center revealed pseudoarthrosis of the manubriosternal joint (MSJ). After a period of conservative management (rest and analgesia) he failed to improve and underwent debridement and fusion of the MSJ with plates and screws. At follow up 23 months later he remains pain free and has returned to weightlifting and body building.