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

Kim,  Young Yul; Kwon,  Jong Beum; Lee,  Yeon Soo; Kim,  Sang Il; Ji,  Jong Hun

doi:2010.13.1.99

Clin Shoulder Elb > Volume 13(1); 2010 > Article

Case Report

Journal of the Korean Shoulder and Elbow Society 2010;13(1):99-105.
DOI: https://doi.org/10.5397/CiSE.2010.13.1.099 Published online June 30, 2010.

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

Young Yul Kim, Jong Beum Kwon, Yeon Soo Lee, Sang Il Kim, Jong Hun Ji

¹Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Korea. junwoo0220@yahoo.co.kr
²Department of Thoracic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Korea.

흉쇄관절에 발생한 화농성 관절염과 결핵성 관절염의 수술적 치료 - 증례 보고 -

김영율·권종범*·이연수·김상일·지종훈

가톨릭대학교 의과대학 대전성모병원 정형외과학교실, 흉부외과학교실

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.

Key Words: Sternoclavicular joint; Pyogenic arthritis; Tubercular arthritis; Marginal resection; Debridement