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Sternoclavicular joint osteomyelitis; delayed bone resection with muscle flap: A case report
Hatem Elbawab1, Yasser Aljehani1, Farouk T AlReshaid1
1Thoracic Unit, Department of Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Saudi Arabia.
International Journal of Surgery Case Reports
|November 23, 2020
Summary
Sternoclavicular joint (SCJ) osteomyelitis is rare, often requiring surgical intervention after antibiotic failure. A case involving chest trauma highlights successful management through debridement, resection, and muscle flap reconstruction for complicated SCJ osteomyelitis.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
- Trauma Reconstruction
Background:
- Sternoclavicular joint (SCJ) osteomyelitis is an exceptionally rare condition.
- This case highlights a complicated presentation following anterior chest wall trauma.
Observation:
- A 61-year-old male with comorbidities presented with right SCJ pain and erythema post-trauma.
- Symptoms progressed to a draining sinus, joint effusion, and fluid collection confirmed by CT scan.
- Initial conservative management with antibiotics and drainage failed.
Findings:
- Surgical intervention, including debridement and definitive bone resection with a pectoralis muscle flap, was performed.
- This approach led to complete wound healing and restoration of normal arm function within five months.
Implications:
- Surgical management, particularly debridement followed by delayed resection and muscle flap, may yield superior outcomes for complex SCJ osteomyelitis.
- The study underscores the importance of aggressive surgical strategies when conservative treatments fail in managing this rare infection.
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