Pyogenic Arthritis of Sternoclavicular Joint: A Case Report

DOI 7 References
  • Imamura Yuko
    Department of Orthopedic Surgery, Kenyukai Kamotomati Hospital, Nagasaki, Japan
  • Tomita Shinjiro
    Department of Orthopedic Surgery, Kenyukai Kamotomati Hospital, Nagasaki, Japan
  • Urakawa Nobuhiro
    Department of Orthopedic Surgery, Kenyukai Kamotomati Hospital, Nagasaki, Japan
  • Kan Masakazu
    Department of Orthopedic Surgery, Kenyukai Kamotomati Hospital, Nagasaki, Japan

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  • 化膿性胸鎖関節炎の１例

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Sternoclavicular pyogenic arthritis is a relatively rare infection. We report a case of pyogenic arthritis of the sternoclavicular joint (SCJ).<BR>A 40-year-old healthy man complained pain and swelling in the left of SCJ. X-rays did not show marked change. T2-weighted images showed high signal massive lesion around the SCJ and CT findings showed osteolytic change at SCJ. White blood cell count was 8200 /μl, CRP was 13.95 mg/dl, and ESR was 85 mm/l st h. Aspiration drainage and antibiotic drug therapy were perfomed after admission, but the osteolytic lesion expanded in CT. Needle aspiration of the abscess detected peptococcus, and then operative debridment was performed. After operation, there was no recurrence. Although pyogenic arthritis of the SCJ is rare in healthy adults, differential diagnosis of the SCJ should be considered in the first stage of occurrence. Early diagnosis and appropriate treatment of infections of the SCJ provide better outcome.

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