[Motility and dysfunction of the clavicle].
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Torsion scoliosis of the upper thoracic vertebral column was causally linked with intrathoracic pains not of coronary origin. A key to understanding the origin of pain seems to lie in the sternal syndrome and the nociceptive somatomotor-blocking effect arising from it. With reference to an unselected patient collective of 38 cases of pseudoanginal complaints, of which in almost 50% the intrathoracic type of pain was found, changes in the thoracic vertebral column and in nearly 75% a torsion scoliosis was demonstrated. Coronary heart disease was excluded by the case history, clinically and by observation of the course. On clinical examination the sternal stress posture described by Brügger was mostly impressive. The incidence of characteristic findings on clinical investigation is classified in a table.
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HIV infection is a predisposing factor for pneumococcic infection. While pneumonia is the most frequent location, other locations (articular, meningeal, endocardiac, etc) have been less frequently described. Among the articular infections described in patients with HIV infection, the sternoclavicular affection is extremely rare and it usually develops in association with parenterally drug addiction, being Staphylococcus aureus and Pseudomonas aeruginosa the most frequently germs involved. We describe the first case of sternoclavicular arthritis by Streptococcus pneumoniae in a patient with HIV infection. In our case, the chronic hepatopathy associated to alcohol consumption is a predisposing factor related to the pneumococcic infection. Our case suggests the need to formally investigate the HIV infection in young patients with invasive pneumococcic infection.