Resection arthroplasty for septic arthritis of the sternoclavicular joint

Chun, Jae Myeung; Kim, Jin Sam; Jung, Hong Jun; Park, Jae Bum; Song, Jung Suk; Park, Soo-Sung; Lee, Ho Seong; Ahn, Tae Soo

doi:10.1016/j.jse.2011.05.020

Cited by 21 publications

(19 citation statements)

References 14 publications

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“…Previous descriptions of open SCJ excisions have described resection of varying amounts of the medial end of the clavicle, with one author recommending an excision of 4 cm. 2 , 3 , 4 , 5 , 13 , 14 , 15 These procedures are probably based on the assumption that an SCJ excision is analogous to an excision of the lateral end of the clavicle for ACJ osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Excision of the Sternoclavicular Joint

Tytherleigh-Strong

Rensburg

2017

Arthroscopy Techniques

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Osteoarthritis changes at the sternoclavicular joint (SCJ) have been shown to be present on computed tomography in more than 90% of people over the age of 60 years. Although usually asymptomatic, when symptoms do occur, they can be very debilitating. Most patients respond favorably to conservative treatment, but there is a small cohort of patients who continue to be symptomatic despite adequate conservative treatment. Surgical management with an open SCJ excision has been shown to give satisfactory results. However, probably due to concerns with regard to damage to the mediastinal structures, instability, and scarring, there is a high threshold for surgery. Arthroscopic SCJ excision has been shown to achieve similar results to an open procedure while avoiding some of the risks. In this Technical Note, we describe the indications, imaging, and the technique of an arthroscopic excision of the SCJ.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Excision of the Sternoclavicular Joint

Tytherleigh-Strong

Rensburg

2017

Arthroscopy Techniques

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“… 74 There can be serious complications including osteomyelitis, chest wall abscess or phlegmon and mediastinitis. 74 – 77 In a large review of 180 cases by Ross and Shamsuddin, 74 sepsis is classically associated with subacute presentation with a median duration of symptoms of two weeks. Common clinical features include local pain, chest pain, swelling, tenderness and pyrexia.…”

Section: Non-traumatic Disorders Of the Scjmentioning

confidence: 99%

“…The most successful modality described was debridement with delayed bone resection and muscle flap coverage in five of five cases. Chun et al 77 reviewed results of resection arthroplasty in 10 cases with septic arthritis and osteomyelitis with resolution of infection in all cases. One patient developed systemic sepsis and pneumonia.…”

Section: Non-traumatic Disorders Of the Scjmentioning

confidence: 99%

Swellings of the sternoclavicular joint: review of traumatic and non-traumatic pathologies

et al. 2018

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The sternoclavicular joint (SCJ) is an integral part of the shoulder girdle that connects the upper limb to the axial skeleton.Swelling of the SCJ is commonly due to trauma, degeneration, infections and other disease processes that affect synovial joints.This review also focuses on uncommon conditions that could affect the SCJ, including SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome, Friedrich’s disease and Tietze syndrome.The scope of this review is limited to the analysis of the current evidence on the various conditions affecting the SCJ and also to provide an algorithm to manage these conditions.Cite this article: EFORT Open Rev 2018;3:471-484. DOI: 10.1302/2058-5241.3.170078

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“…Cases may be complicated by the development of clavicular osteomyelitis, rib osteomyelitis, mediastinitis, mediastinal or lung abscess, or systemic sepsis. 2,3 The diagnosis of SCJ septic arthritis is confirmed by computed tomography (CT) scan or magnetic resonance imaging. Culture isolates are typically monoclonal with Staphylococcus aureus predominating; other causative organisms include Pseudomonas, group G streptococcus, Proteus, and Propionibacterium.…”

Section: Clinical Features and Diagnosismentioning

confidence: 99%