title: Simplified Method for Treating Osteomyelitis of the Sternoclavicular Joint.
abstract: Osteomyelitis of the sternoclavicular joint is a rare yet challenging problem. It is commonly treated by resection and a muscle flap. We report a case that was treated with single-stage resection of both the sternoclavicular joint and part of the sternum followed by implantation of calcium sulfate beads impregnated with antibiotics and primary closure without a muscle flap. A single-stage debridement with resection for osteomyelitis of the sternoclavicular joint and primary closure with calcium sulfate beads impregnated with antibiotics may be an option when dealing with this difficult clinical problem.
authors.affiliation: Division of Thoracic Surgery, Lenoir Memorial Hospital, Kinston, North Carolina. Electronic address: jwhitlark@hotmail.com.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Whitlark
authors.affiliation: Stanford University, Stanford, California.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Kirollos
authors.affiliation: East Carolina University, Greenville, North Carolina.
authors.forename: Spencer M
authors.initials: SM
authors.lastname: Jackson
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001170:Arthritis, Infectious / Q000382:microbiology / Q000601:surgery*; D001843:Bone Cements / Q000627:therapeutic use*; D003646:Debridement / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007322:Instillation, Drug; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D010019:Osteomyelitis / Q000382:microbiology / Q000601:surgery*; D012720:Severity of Illness Index; D013203:Staphylococcal Infections / Q000188:drug therapy; D013247:Sternoclavicular Joint / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D058106:Wound Closure Techniques; D014945:Wound Healing / Q000502:physiology
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements