Sternoclavicular Joint Infections: Improved Outcomes With Myocutaneous Flaps

Ali, Barkat; Shetty, Anil; Qeadan, Fares; Demas, Christopher; Schwartz, Jess D.

doi:10.1053/j.semtcvs.2019.12.007

Cited by 9 publications

(17 citation statements)

References 19 publications

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“…All of these studies were retrospective. Only one study, by Ali et al., was statistically powered given its largest sample size among all and would qualify for level VI evidence [ 1 ]. The rest were all descriptive studies and would qualify for level VIII evidence.…”

Section: Reviewmentioning

confidence: 99%

“…), and 23% (Von Glinksi et. al) [ 1 , 3 , 13 , 21 ]. Two of these studies further stratified the recurrence of infection by treatment modality and/or closure technique.…”

Section: Reviewmentioning

confidence: 99%

“…Infections of the sternoclavicular joint are rare, representing 0.5% of all joint infections seen, and the true incidence is unknown [ 1 ]. This is a separate clinical entity from sternomanubrial joint infections and/or post-sternotomy osteomyelitis following cardiac surgery procedures [ 2 , 3 ].…”

Section: Reviewmentioning

confidence: 99%

“…Sternoclavicular joint infection is a rare disease. The true incidence rate of the condition is unknown, and it has an estimated prevalence of less than 1% [ 1 , 2 ]. The management of sternoclavicular joint infection, for the most part, remains controversial.…”

Section: Introductionmentioning

confidence: 99%

“…Also, there is a wide variation in the surgical treatment options (i.e., ranging from incision and drainage, debridement and curettage, to radical resection of the sternal clavicular joint) [ 3 , 4 ]. Furthermore, following resection of the sternoclavicular joint, there are many different reconstructive options, ranging from primary closure to different types of muscle flaps [ 1 , 5 , 6 ]. Given the rare nature of the disease, studies have been limited to individual case series.…”

Section: Introductionmentioning

confidence: 99%

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The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review

Ali

Barlas

Shetty

et al. 2020

Cureus

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The treatment of sternoclavicular joint infection is a topic of controversy. This systematic review aims to evaluate the preferred treatment of sternoclavicular joint infections. A literature search using PubMed/MEDLINE®/Embase databases was conducted to identify publications on the surgical management of sternoclavicular joint infections. Case reports and studies without surgical management were excluded. The outcomes of interest included patient demographics, comorbidities, infectious etiologies, radiographic features, surgical management, and complications. Sixteen articles met the inclusion criteria. The mean age of the subjects was 53.4 years; there was a predominance of males (65%), and a minority of the subjects were obese (15%). The most common infectious etiology was methicillin-susceptible Staphylococcus aureus (MSSA) (48%). CT scan was reported in 46% of cases. The most common treatment was surgical resection of the joints (85%), followed by muscle flap closure of the wounds (54.2%). The complication rate ranged from 0-40%. Specifically, recurrence of infection was low with resection of the joint, followed by muscle flap closure. Given the heterogeneity of the methodology and inconsistency in the outcomes, a meta-analysis could not be performed. Overall, the current literature favors the resection of the sternoclavicular joint as the gold standard treatment. Closure of the wound using muscle flap seems to adequately treat this problem without any major untoward events.

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Section: Reviewmentioning

confidence: 99%

“…), and 23% (Von Glinksi et. al) [ 1 , 3 , 13 , 21 ]. Two of these studies further stratified the recurrence of infection by treatment modality and/or closure technique.…”

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review

Ali

Barlas

Shetty

et al. 2020

Cureus

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Sternoclavicular joint osteomyelitis; delayed bone resection with muscle flap: A case report

Elbawab

Aljehani

Alreshaid

et al. 2020

International Journal of Surgery Case Reports

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Highlights Surgical intervention is indicated in cases of SCJ osteomyelitis after failure of conservative management. It provide definitive management when the joint shows signs of destruction in CT scan. SCJ debridement followed by delayed resection of the joint together with the surrounding infected tissue including bone and cartilages, offer better results than merely debridement alone. Pectoralis muscle flap achieves best result in the management of sternoclavicular joint osteomyelitis after resection of the joint.

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Commentary: One and Done

Weber¹

2020

Seminars in Thoracic and Cardiovascular Surgery

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Sternoclavicular Joint Infections: Improved Outcomes With Myocutaneous Flaps

Cited by 9 publications

References 19 publications

The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review

The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review

Sternoclavicular joint osteomyelitis; delayed bone resection with muscle flap: A case report

Commentary: One and Done

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