Treatment of sternoclavicular joint osteomyelitis with debridement and delayed resection with muscle flap coverage improves outcomes

Jason L. Muesse, Shanda H. Blackmon, Warren A. Ellsworth, Min P. Kim

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The objective of this study was to evaluate the efficacy of various treatment options for sternoclavicular joint osteomyelitis. We evaluated patients with a diagnosis of sternoclavicular joint osteomyelitis, treated at our hospital from 2002 to 2012. Four treatment options were compared. Three out of twelve patients were successfully cured with antibiotics alone (25%). Debridement with or without negative pressure therapy was successful for one of three patients (33%). Simultaneous debridement, bone resection, and muscle flap coverage of the acquired defect successfully treated one of two patients (50%).Debridement with delayed bone resection and muscle flap coverage was successful in five of five patients (100%). Osteomyelitis of the sternoclavicular joint is a rare disease that has become more prevalent in recent years and can be associated with increasing use of long-term indwelling catheters. Initial debridement with delayed bone resection and pectoralis major muscle flap coverage can effectively treat sternoclavicular joint osteomyelitis.

Original languageEnglish (US)
Article number747315
Pages (from-to)747315
JournalSurgery Research and Practice
Volume2014
DOIs
StatePublished - Mar 12 2014

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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