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Clin Shoulder Elbow > Volume 11(1); 2008 > Article
Journal of the Korean Shoulder and Elbow Society 2008;11(1):57-61.
DOI: https://doi.org/10.5397/CiSE.2008.11.1.057    Published online June 30, 2008.
Operative Treatment of the Tuberculous Arthritis on the Sternoclavicular Joint: A Report of Two Cases
Jin Young Park, Jeong Woo Kim, Churl Hong Chun, Seok Hyun Kwon, Yun Hong Choi, Seok Jung Lee
Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Korea. serina@wonkwang.ac.kr
흉쇄 관절에 발생된 결핵성 관절염의 수술적 치료 - 2예 보고 -
박진영·김정우·전철홍·권석현·최윤홍·이석중
원광대학교 의과대학 정형외과학교실
Abstract
Tuberculous arthritis on the sternoclavicular joint is an uncommon disease and a delayed diagnosis can be due to the obscure clinical symptoms. We should suspect tuberculous arthritis in patients with slowly progressive pain, swelling, mild fever and a previous history of tuberculosis. Early diagnosis is important through conducting a thorough physical examination and performing laboratory tests and radiologic study. Tuberculous arthritis on the sternoclavicular joint should be treated with a combination of systemic antituberculous agents and thorough surgical debridement in marked damaged joints. When performing this operation, it is important not only to minimized the injury of the costoclavicular ligament, but also to avoid injury to the surrounding the vital structures such as the mediastinum and pleura after aggressive resection or radical debridement. We describe here 2 cases of the tuberculous arthritis on the sternoclavicular joint: one case had a good result after surgical debridement with using an anti-tuberculous agent, and the other had fatal complications such as mediastinal abscess and pleural effusion after the operation.
Key Words: Sternoclavicular joint; Tuberculous arthritis


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