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Treatment for sternoclavicular joint infections: a multi-institutional study
Allen Murga1, Hannah Copeland1, Rachel Hargrove1
1Department of Thoracic and Cardiovascular Surgery, Loma Linda University, Loma Linda, CA 92354, USA.
Journal of Thoracic Disease
|July 26, 2017
Summary
Sternoclavicular joint (SCJ) infections are rare but serious, often requiring surgical intervention for effective treatment. Staphylococcus aureus was the most common pathogen identified in this study.
Area of Science:
- Orthopedics
- Infectious Diseases
- Surgical Management
Background:
- Sternoclavicular joint (SCJ) infections are uncommon and pose significant management challenges.
- Surgical intervention is typically essential for treating SCJ infections.
Purpose of the Study:
- To evaluate the clinical characteristics, treatment outcomes, and survival rates of patients with sternoclavicular joint infections.
- To identify common pathogens and risk factors associated with SCJ infections.
Main Methods:
- A retrospective chart review was conducted across university and Veterans Administration (VA) hospitals.
- Fifteen patients diagnosed with SCJ infections since 2001 were analyzed.
Main Results:
- Common symptoms included pain, erythema, and leukocytosis; diabetes mellitus and hypertension were frequent comorbidities.
- Staphylococcus aureus was identified in 67% of positive wound cultures.
- Thirteen of fifteen patients survived without infection following surgical resection and antibiotic treatment.
Conclusions:
- Symptomatic sternoclavicular joint infections necessitate surgical management.
- Staphylococcus aureus is the predominant causative organism in SCJ infections.
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