Download PDF
Thorac Cardiovasc Surg 2023; 71(01): 73-75
DOI: 10.1055/s-0041-1740547
Short Communications

Increasing Incidence of Sternoclavicular Joint Infections in Intravenous Drug Users

Hakan Orbay
1   Department of Surgery, Crozer-Chester Medical Center, Upland, Pennsylvania, United States
,
Sirivan Seng
1   Department of Surgery, Crozer-Chester Medical Center, Upland, Pennsylvania, United States
,
Daniel Wonsuk Kim
1   Department of Surgery, Crozer-Chester Medical Center, Upland, Pennsylvania, United States
,
Charles M. Geller
1   Department of Surgery, Crozer-Chester Medical Center, Upland, Pennsylvania, United States
› Author Affiliations
› Further Information
    Permissions and Reprints All articles of this category

Abstract

Sternoclavicular joint septic arthritis is rarely seen in the general population. The majority of cases are seen in intravenous drug users. Given the lack of reported cases in the literature, there is no standardized treatment algorithm for this disease. Described treatment methods range from medical management to wide local debridement. The incidence of sternoclavicular joint septic arthritis will likely continue to increase with rising usage of intravenous drugs in the United States. Within the past year, our institution treated four cases.

Keywords

infection - sternum - chest wall


Publication History

Received: 21 March 2021

Accepted: 28 October 2021

Article published online:
17 January 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Ross JJ, Shamsuddin H. Sternoclavicular septic arthritis: review of 180 cases. Medicine (Baltimore) 2004; 83 (03) 139-148
    CrossrefPubMedSearch in Google Scholar
  • 2 Fordham S, Cope S, Sach M. Optimal management of sternoclavicular septic arthritis. Eur J Emerg Med 2009; 16 (04) 219-220
    CrossrefPubMedSearch in Google Scholar
  • 3 Burkhart HM, Deschamps C, Allen MS, Nichols III FC, Miller DL, Pairolero PC. Surgical management of sternoclavicular joint infections. J Thorac Cardiovasc Surg 2003; 125 (04) 945-949
    CrossrefPubMedSearch in Google Scholar
  • 4 Alexander PW, Shin MS. CT manifestation of sternoclavicular pyarthrosis in patients with intravenous drug abuse. J Comput Assist Tomogr 1990; 14 (01) 104-106
    CrossrefPubMedSearch in Google Scholar
  • 5 Abu Arab W, Khadragui I, Echave V, Deshaies A, Sirois C, Sirois M. Surgical management of sternoclavicular joint infection. Eur J Cardiothorac Surg 2011; 40 (03) 630-634
    PubMedSearch in Google Scholar
  • 6 Jang YR, Kim T, Kim MC. et al. Sternoclavicular septic arthritis caused by Staphylococcus aureus: excellent results from medical treatment and limited surgery. Infect Dis (Lond) 2019; 51 (09) 694-700
    CrossrefPubMedSearch in Google Scholar
  • 7 Puri V, Meyers BF, Kreisel D. et al. Sternoclavicular joint infection: a comparison of two surgical approaches. Ann Thorac Surg 2011; 91 (01) 257-261
    CrossrefPubMedSearch in Google Scholar