Sternoclavicular joint septic arthritis and mediastinitis. A case report and review of the literature.

Abstract:

:Septic arthritis of the sternoclavicular joint is rare. Its causes have been reported to include immuno-compromizing diseases, intravenous drug abuse, fractures of the clavicle or catheterization of the subclavian vein. We report a case of septic arthritis of the SCJ in a diabetic patient following periarticular injection of steroids in the ipsilateral shoulder, as this route of infection has not been documented, to our knowledge, in the literature to date. We review the literature regarding epidemiology and methods of surgical treatment that have been proposed, and present our own surgical experience. Bacterial infection should always be suspected in cases of SCJ arthritis. If surgery is required, it is important to remember that bony procedures leave vascular structures exposed, making their cover by myoplasty mandatory.

authors

Mikroulis DA,Verettas DA,Xarchas KC,Lawal LA,Kazakos KJ,Bougioukas GJ

doi

10.1007/s00402-006-0273-8

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

185-7

issue

2

eissn

0936-8051

issn

1434-3916

journal_volume

128

pub_type

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