Display options
Cite
Murga A, Copeland H, Hargrove R, et al. Treatment for sternoclavicular joint infections: a multi-institutional study. J Thorac Dis. 2017;9(6):1503-1508doi: 10.21037/jtd.2017.05.76.
Murga, A., Copeland, H., Hargrove, R., Wallen, J. M., & Zaheer, S. (2017). Treatment for sternoclavicular joint infections: a multi-institutional study. Journal of thoracic disease, 9(6), 1503-1508. https://doi.org/10.21037/jtd.2017.05.76
Murga, Allen, et al. "Treatment for sternoclavicular joint infections: a multi-institutional study." Journal of thoracic disease vol. 9,6 (2017): 1503-1508. doi: https://doi.org/10.21037/jtd.2017.05.76
Murga A, Copeland H, Hargrove R, Wallen JM, Zaheer S. Treatment for sternoclavicular joint infections: a multi-institutional study. J Thorac Dis. 2017 Jun;9(6):1503-1508. doi: 10.21037/jtd.2017.05.76. PMID: 28740662; PMCID: PMC5506110.
Copy Download .nbib Format: NLM
Share it on

J Thorac Dis. 2017 Jun;9(6):1503-1508. doi: 10.21037/jtd.2017.05.76.

Treatment for sternoclavicular joint infections: a multi-institutional study.

Journal of thoracic disease

Allen Murga, Hannah Copeland, Rachel Hargrove, Jason M Wallen, Salman Zaheer

Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Loma Linda University, Loma Linda, CA 92354, USA.

PMID: 28740662 PMCID: PMC5506110 DOI: 10.21037/jtd.2017.05.76

Abstract

BACKGROUND: Sternoclavicular joint (SCJ) infections are rare and difficult to manage. Surgery is necessary for treatment.

METHODS: A retrospective chart review of the university hospital and Veterans Administration (VA) hospitals of all patients treated for SCJ infections since 2001 was conducted. Fifteen [15] patients were identified and evaluated for the types of infections, risk factors, treatments and survival.

RESULTS: All 15 patients were symptomatic including: pain [13], erythema [9], purulent drainage [3], fever greater than 38.3 °C [2], and leukocytosis [9]. The associated medical problems included: diabetes mellitus (DM), hypertension (HTN) and renal failure. All patients underwent intraoperative joint resection. Sixty-seven percent (67%) of intraoperative wound cultures grew staphylococcus aureus. Fourteen patients were discharged on intravenous antibiotics. The follow-up ranged between 1 week-11 months. Thirteen patients are currently alive without infection. Two patients died: 1 of sepsis and 1 of unknown causes after discharge.

CONCLUSIONS: Symptomatic SCJ infections require surgical intervention. The most common organism was staphylococcus aureus.

Keywords: Sternum; chest wall; infection

Conflict of interest statement

Conflicts of Interest: This manuscript was presented at the General Thoracic Surgical Club, March 2014.

References

  1. Medicine (Baltimore). 2004 May;83(3):139-48 - PubMed
  2. Infez Med. 2003 Jun;11(2):105-7 - PubMed
  3. Arch Orthop Trauma Surg. 2011 Mar;131(3):319-23 - PubMed
  4. Ann Thorac Surg. 2002 Feb;73(2):427-31 - PubMed
  5. J Thorac Cardiovasc Surg. 1997 Feb;113(2):242-7 - PubMed
  6. Ann Thorac Surg. 2011 Jan;91(1):257-61 - PubMed
  7. J Orthop Sci. 2008 Mar;13(2):160-9 - PubMed
  8. Arch Phys Med Rehabil. 2008 May;89(5):884-6 - PubMed
  9. J Intern Med. 1990 Sep;228(3):275-8 - PubMed
  10. J Thorac Cardiovasc Surg. 2003 Apr;125(4):945-9 - PubMed
  11. Arthritis Rheum. 1980 Feb;23(2):232-9 - PubMed

Publication Types