Treatment of sternoclavicular joint osteomyelitis with debridement and delayed resection with muscle flap coverage improves outcomes.
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.
Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, SM 1661, Houston, TX 77030, USA.
Jason L
JL
Muesse
Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, SM 1661, Houston, TX 77030, USA ; Department of Surgery, Weill Cornell Medical College, Houston Methodist Hospital, 6550 Fannin Street, SM 1661, Houston, TX 77030, USA.
Shanda H
SH
Blackmon
Department of Surgery, Weill Cornell Medical College, Houston Methodist Hospital, 6550 Fannin Street, SM 1661, Houston, TX 77030, USA ; The Institute for Reconstructive Surgery, Houston Methodist Hospital and Division of Plastic Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Warren A
WA
Ellsworth
Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, SM 1661, Houston, TX 77030, USA ; Department of Surgery, Weill Cornell Medical College, Houston Methodist Hospital, 6550 Fannin Street, SM 1661, Houston, TX 77030, USA.
Min P
MP
Kim