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Ali, Barkat; Barlas, Venus; Shetty, Anil; Demas, Christopher; Schwartz, Jess D.

doi:10.7759/cureus.c42

Cited by 2 publications

(11 citation statements)

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“…Staphylococcus aureus arthritis often causes periarticular abscesses that respond well to incision and drainage [ 9 , 15 ]. However, when the abscess extends to the neck or chest wall, the efficacy of incision and drainage is controversial [ 14 , 15 ]. The large abscesses in this case had a clear septal formation with the surrounding structures, and pus could easily be drained through the incision.…”

Section: Discussionmentioning

confidence: 99%

“…In the present case, the patient was scheduled for reoperation if the cultures confirmed methicillin-resistant Staphylococcus aureus (MRSA). In sternoclavicular joint infections, approximately 15% of Staphylococcus aureus are methicillin-resistant [ 14 ]. Of the 23 patients with MRSA sternoclavicular joint infections in the literature, only one patient was effectively treated by incision and drainage [ 10 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…In sternoclavicular joint infections, approximately 15% of Staphylococcus aureus are methicillin-resistant [ 14 ]. Of the 23 patients with MRSA sternoclavicular joint infections in the literature, only one patient was effectively treated by incision and drainage [ 10 , 14 ]. Therefore, en bloc resection or debridement may be a better treatment option for patients with MRSA infection [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…If incision and drainage is ineffective, debridement or resection is added as curative treatment [9,10]. However, this treatment strategy is rarely employed in sternoclavicular joint infections [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Surgical treatment for sternoclavicular joint infections is based on expert opinion and small case series owing to the limited number of cases published in the literature [3,11,15].…”

Section: Discussionmentioning

confidence: 99%

“…The infection can spread to surrounding structures via the lymphatic vessels or by direct extension [4,5], causing serious complications, such as osteomyelitis (56%), abscess formation (25%), and mediastinitis (13%) [1]. Treatment of sternoclavicular joint infections with serious complications usually requires en bloc resection of the affected joint and surrounding structures [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. However, this aggressive procedure carries the risk of adverse wound events, large chest wall defects, and prolonged hospital stays [1][2][3]11].…”

Section: Introductionmentioning

confidence: 99%

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Minimally Invasive Surgery for Sternoclavicular Joint Infection with Osteomyelitis, Large Abscesses, and Mediastinitis

Ota

Ishida

Matsumoto

et al. 2022

Case Reports in Surgery

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Background. Sternoclavicular joint infections require en bloc resection for radical cure; however, this aggressive procedure may result in multiple adverse events. Therefore, performing minimally invasive surgery is desirable. In this report, we describe a case of sternoclavicular joint infection complicated by osteomyelitis, large abscesses, and mediastinitis that was successfully treated with incision and drainage. Case Presentation. A 42-year-old man with no medical history presented to our hospital with complaints of painful swelling in the left chest wall and acute dyspnea. Computed tomography revealed arthritis of the left sternoclavicular joint, osteomyelitis of the clavicle and sternum, anterior mediastinitis, and abscesses in the neck, chest wall, and retrosternal and extrapleural spaces. Gram staining of the aspirated pus revealed clusters of gram-positive cocci. A diagnosis of Staphylococcus aureus sternoclavicular joint infection with locoregional spread was made. Emergency surgery was performed following adequate resuscitation. A skin incision was made in the second intercostal space. The joint capsule was widely opened, necrotic tissue was curetted, and closed suction drains were placed in the abscess cavities and connected to a negative pressure system. The wound was then closed using primary sutures. The postoperative course was uneventful. Methicillin-sensitive Staphylococcus aureus was cultured from the pus. The patient was discharged on postoperative day 14. Osteomyelitis worsened within a few weeks after surgery but recovered with wound management and six weeks of antibiotic therapy. The patient has had no recurrence of infection for two years. Conclusions. Incision and drainage proved to be an effective minimally invasive surgical treatment for sternoclavicular joint infection with osteomyelitis, large abscesses, and mediastinitis caused by methicillin-sensitive Staphylococcus aureus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Minimally Invasive Surgery for Sternoclavicular Joint Infection with Osteomyelitis, Large Abscesses, and Mediastinitis

Ota

Ishida

Matsumoto

et al. 2022

Case Reports in Surgery

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Sternoclavicular Septic Arthritis and Surgical Intervention: A Case Report

Alnasser,

Alamari,

Almutairi

et al. 2024

Cureus

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Management of septic arthritis is an area of controversy, especially in rare locations like the sternoclavicular joints. In this case report, we present a case of septic sternoclavicular joint, which was resistant to medical treatment and deteriorated during the treatment course. Although medical treatment has proven effective based on previous literature, some cases will still not benefit from it. In this case, our patient responded significantly to surgical treatment regarding upper limb function, faster infection eradication and rehabilitation, and shorter hospitalization and antibiotics duration.

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Cited by 2 publications

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Minimally Invasive Surgery for Sternoclavicular Joint Infection with Osteomyelitis, Large Abscesses, and Mediastinitis

Minimally Invasive Surgery for Sternoclavicular Joint Infection with Osteomyelitis, Large Abscesses, and Mediastinitis

Sternoclavicular Septic Arthritis and Surgical Intervention: A Case Report

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