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The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

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Related Experiment Videos

Septic sternoclavicular joint: a case report.

Ralph A Crisostomo1, Edward R Laskowski, Jeffrey R Bond

  • 1Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.

Archives of Physical Medicine and Rehabilitation
|May 3, 2008
PubMed
Summary
This summary is machine-generated.

Septic sternoclavicular joint infection is rare but serious. Early diagnosis and treatment, including antibiotics and surgery, are crucial for favorable outcomes in patients presenting with severe joint pain and swelling.

Related Experiment Videos

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Sports Medicine

Background:

  • Septic sternoclavicular joint infections are rare, comprising 1% of all septic joints.
  • Nontraumatic chest pain can indicate underlying serious pathology beyond musculoskeletal injury.

Observation:

  • A 23-year-old male presented with severe left anterior chest pain, swelling, redness, and tenderness over the sternoclavicular joint.
  • Initial MRI suggested soft tissue inflammation and joint effusion, possibly from a muscle tear.
  • The patient appeared toxic and experienced significant pain with movement, prompting hospital admission for suspected septic arthritis.

Findings:

  • Blood and sternoclavicular joint aspirate cultures confirmed methicillin-sensitive Staphylococcus aureus infection.
  • Re-evaluation of MRI revealed subtle signals consistent with joint infection.
  • Treatment involved intravenous antibiotics and surgical resection of the sternoclavicular joint, proximal clavicle, and lateral manubrium.

Implications:

  • This case highlights the importance of considering infection in cases of sternoclavicular joint pain with concerning clinical signs.
  • Prompt diagnosis and aggressive management, including surgical intervention, are vital for managing septic sternoclavicular joint infections.
  • No predisposing factors were identified, emphasizing the need for vigilance in diverse patient populations.