Surgical Management of a Sternoclavicular Septic Arthritis with Infraclavicular Abscess: A Case Report

Ali Biharas Monfared, P. Zardo, S. Mousavian
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Abstract

Introduction: Septic arthritis of the sternoclavicular (SC) joint is an uncommon disease with some risk factors. Because of being rare and insidious, a diagnosis could probably be difficult, delayed, or even missed until complications occur, resulting in severe and life-threatening outcomes. It should be noted that early recognition and diagnosis, followed by immediate treatment, play an essential role in the patient’s prognosis. Septic arthritis of the SC joint is a relatively infrequent infection. Clinical symptoms are mostly sudden, and from days to months, the patients may have pain in the chest, shoulder, or neck, limited movement in the upper extremities, and fever. Case Presentation: We report a patient without predisposing factors who developed septic SC arthritis with infraclavicular abscess and was rapidly treated with partial clavicular resection Conclusions: Diagnosis of septic arthritis in the SC region is often deferred. Early diagnosis allows more accessible medical or surgical treatment and a significant prognosis.
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胸锁骨脓毒性关节炎合并锁骨下脓肿的外科治疗1例
摘要胸骨锁骨关节脓毒性关节炎是一种罕见的疾病,有一些危险因素。由于罕见和隐匿,诊断可能很困难,延迟,甚至错过,直到并发症发生,导致严重和危及生命的结果。应该注意的是,早期识别和诊断,然后立即治疗,对患者的预后起着至关重要的作用。SC关节的脓毒性关节炎是一种相对少见的感染。临床症状多为突发性,持续数天至数月,患者可出现胸部、肩部或颈部疼痛,上肢活动受限,并伴有发热。病例介绍:我们报告了一位没有易感因素的患者,他发展为感染性SC关节炎并锁骨下脓肿,并迅速接受部分锁骨切除术治疗。结论:SC区域感染性关节炎的诊断经常被推迟。早期诊断可以提供更容易获得的药物或手术治疗和重要的预后。
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