Browse > Article
http://dx.doi.org/10.5397/CiSE.2010.13.1.099

The Surgical Treatment of Pyogenic and Tubercular Infection in the Sternoclavicular Joint - Case Report -  

Kim, Young-Yul (Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea)
Kwon, Jong-Beum (Department of Thoracic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea)
Lee, Yeon-Soo (Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea)
Kim, Sang-Il (Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea)
Ji, Jong-Hun (Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea)
Publication Information
Clinics in Shoulder and Elbow / v.13, no.1, 2010 , pp. 99-105 More about this Journal
Abstract
Purpose: Here we report clinical results for surgical treatment of 2 cases of pyogenic arthritis and 1 case of tubercular arthritis, which only rarely develops in the sternoclavicular joint. Materials and Methods: From September 2003 to September 2008, we did early marginal resection and thorough debridement of osteomyelitis of the sternum and distal clavicle in 3 patients and evaluated clinical results after short-term follow up. Results: All 3 patients were satisfied with their clinical results and none had any recurrences according to follow up X-rays and laboratory datas. The follow up MRI showed bone edema in the distal clavicle and proximal sternum and a little fluid retention around the sternoclavicular joint. Conclusion: Even though diagnosis of these diseases are made earlier, infection of the adjacent bone and osteomyelitis could already have developed. We did early marginal resection and thorough debridement of osteomyelitis of the sternum and distal clavicle and achieved satisfactory results.
Keywords
Sternoclavicular joint; Pyogenic arthritis; Tubercular arthritis; Marginal resection; Debridement;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Burkhart HM, Deschamps C, Allen MS, Nichols FC, 3rd, Miller DL, Pairolero PC: Surgical management of sternoclavicular joint infections. J Thorac Cardiovasc Surg, 125: 945-949, 2003.   DOI   ScienceOn
2 Carlos GN, Kesler KA, Coleman JJ, Broderick L, Turrentine MW, Brown JW: Aggressive surgical management of sternoclavicular joint infections. J Thorac Cardiovasc Surg, 113: 242-247, 1997.   DOI   ScienceOn
3 Dhillon MS, Gupta R, Rao KS, Nagi ON: Bilateral sternoclavicular joint tuberculosis. Arch Orthop Trauma Surg, 120: 363-365, 2000.   DOI
4 Dubost JJ, Soubrier M, De Champs C, Ristori JM, Bussiere JL, Sauvezie B: No changes in the distribution of organisms responsible for septic arthritis over a 20 year period. Ann Rheum Dis, 61: 267-269, 2002.   DOI   ScienceOn
5 Park JY, Kim WJ, Chun CH, Kwon SH, Choi YH, Lee SJ: Operative Treatment of the Tuberculous Arthritis on the Sternoclavicular Joint. A Report of Two Cases. J Korean Shoulder Elbow Soc, 11: 57-61, 2008.   과학기술학회마을   DOI   ScienceOn
6 Ross JJ, Shamsuddin H: Sternoclavicular septic arthritis: review of 180 cases. Medicine (Baltimore), 83: 139-148, 2004.   DOI   ScienceOn
7 Shibata Y, Shirai Y, Miyamoto M: The aging process in the sacroiliac joint: helical computed tomography analysis. J Orthop Sci, 7: 12-18, 2002.   DOI
8 Silberberg M, Frank EL, Jarrett SR, Silberberg R: Aging and osteoarthritis of the human sternoclavicular joint. Am J Pathol, 35: 851-865, 1959.
9 Song HK, Guy TS, Kaiser LR, Shrager JB: Current presentation and optimal surgical management of sternoclavicular joint infections. Ann Thorac Surg, 73: 427-431, 2002.   DOI   ScienceOn
10 Lee WS, Kim Y, Kim TS, Yoon JR, Lee JH: Primary Sternoclavicular Septic Arthritis in a Healthy Adult- A Case Report -. J Korean Shoulder Elbow Soc, 11: 189- 192, 2008.   과학기술학회마을   DOI   ScienceOn
11 Yasuda T, Tamura K, Fujiwara M: Tuberculous arthritis of the sternoclavicular joint. A report of three cases. J Bone Joint Surg Am, 77: 136-139, 1995.
12 Martini A: [An immunological approach to chronic juvenile arthritis]. Ann Pediatr (Paris), 35: 555-558, 1988.
13 Enarson DA, Fujii M, Nakielna EM, Grzybowski S: Bone and joint tuberculosis: a continuing problem. Can Med Assoc J, 120: 139-145, 1979.
14 Farer LS, Lowell AM, Meador MP: Extrapulmonary tuberculosis in the United States. Am J Epidemiol, 109: 205-217, 1979.