The Clinical Results of Surgical Treatment for Sternoclavicualr Septic Arthritis.
- Author:
Shin KIM
1
;
Hee Sung LEE
;
Kun Il KIM
;
Sung Woo CHO
;
Hyoung Soo KIM
;
Ho Seung SHIN
;
Jae Woong LEE
;
Ki Woo HONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Infection;
Treatment outcome;
Sternoclavicular joint;
Septocemia
- MeSH:
Abscess;
Anti-Bacterial Agents;
Arthritis, Infectious;
Central Venous Catheters;
Female;
Head;
Humans;
Male;
Mediastinitis;
Methicillin-Resistant Staphylococcus aureus;
Osteomyelitis;
Pseudomonas;
Retrospective Studies;
Ribs;
Sepsis;
Sternoclavicular Joint;
Sternum;
Streptococcus agalactiae;
Streptococcus intermedius;
Treatment Outcome
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(2):220-225
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Sternoclavicular septic arthritis manifests serious complications such as abscess, osteomyelitis, mediastinitis and empyema; therefore, a prompt diagnosis and appropriate treatment are necessary. MATERIAL AND METHOD: The treatment results of eight patients with sternoclavicular septic arthritis and who had been surgically treated at our institutions between September 2005 and July 2008 were retrospectively reviewed. The surgical treatment they underwent was en bloc resection, including partial resection of the sternum, the clavicular head and the 1st rib. RESULT: The patients ranged in age from 40 to 74 years with an average of 55.1+/-10.3 years. Five were men and three were women. There were 6 patients with spontaneous sternoclavicular septic arthritis and 2 patients had their condition induced by central venous catheters. The pathogens isolated from the patients' blood and wounds were MRSA (3), Streptococcus intermedius (1), Streptococcus agalactiae (1) and Pseudomonas luteola (1). One patient expired from aggravation of preoperative sepsis on POD 31. CONCLUSION: The life-threatening complications from sternoclavicular septic arthritis can progress and lead to death unless appropriate treatment is administered. A prompt diagnosis, appropriate antibiotics therapy and effective surgical treatment such as radical en bloc resection can reduce the morbidity and mortality of this malady.
