Proceedings in surgical treatment of sternoclavicular joint infection

VernacularTitle:胸锁关节感染的外科治疗进展
Author: Dong XIE ; Ke FEI ; Chang CHEN ; Haifeng WANG ; Gening JIANG
Publication Type:Journal Article
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2016;32(8):506-508
CountryChina
Language:Chinese
Abstract: Septic arthritis of the sternoclavicular joint(SCJ) is a rare condition and accounts for 0.5％-1.0％ of septic arthritis.SCJ infections often require surgical intervention.Diabetes mellitus,rheumatoid arthritis,intravenous drug use,intraarticular injection and immunosuppressive disorders are predisposing factors.Staphylococcus aureus and Pseudomonas aeruginosa are the most common bacteriologies.Early diagnosis of SCJ infection requires a high index of suspicion and a confirmatory CT or MRI scan.The characteristic imaging features include intramedullary and soft tissue gas,sequestra,soft tissue swelling and destruction or widening of joint space.Management strategies have ranged from conservative antibiotic therapy to en-bloc resection of the sternoclavicular joint with or without ipsilateral pectoralis major muscle transposition.The shoulder function in most patients were well preserved.