Sternoclavicularis ízület fertözésének sebészi kezelése.

Translated title of the contribution: Surgical management of sternoclavicular joint infections

Szentkereszty Zsolt, Pósán János, Petö Katalin, P. Sápy, Boros Miklós, Takács István, Sz Kiss Sándor

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

AIMS: The pyogenic infection of the sternoclavicular joint is a rare disease. The treatment can be conservative (antibiotics) or surgical (exposure and drainage of the joint or its resection). The authors analyze the causative and predisposing factors, the symptoms, the diagnosis, the questions of the therapy and its efficiency. PATIENTS AND METHODS: In the 6 cases (5 male, 1 female, average age: 56.8 years) the cause of the disease were trauma or metastatic septic focus in 2-2 cases and intraarticular injection or preceding radiotherapy in 1-1 case. Predisposing diseases (diabetes mellitus, gout, chronic alcoholism, liver cirrhosis) could be proved in two cases. The most frequent symptoms were the swelling and erythema of the joint, fever, pain and limitation of motion. In all cases the CT scan proved the destruction of the joint. In one case after unsuccessful conservative therapy and in 1-1 case after debridement and drainage because of concomitant multiple septic focuses and mediastinitis resection of the sternoclavicular joint was applied in a later second step. In the other three patients primary resection of the joint was performed. RESULTS: Both the conservative and drainage managements were insufficient. On the other hand the radical joint resection caused complete recovery in all cases. No intra and postoperative complications were observed. On an average 28.2 months after the radical operation the functional results were excellent. CONCLUSIONS: Relying upon the results, radical resection is supposed to be the most effective method. Conservative treatment or drainage are recommended only for cases associated with severe complications. Resection is worthy performing after the recovery of the concomitant illnesses.

Original languageHungarian
Pages (from-to)514-517
Number of pages4
JournalMagyar sebészet
Volume60
Issue number1
Publication statusPublished - Jan 2007

Fingerprint

Sternoclavicular Joint
Drainage
Joints
Infection
Hand Joints
Mediastinitis
Intra-Articular Injections
Gout
Arthralgia
Debridement
Erythema
Rare Diseases
Liver Cirrhosis
Causality
Alcoholism
Diabetes Mellitus
Fever
Radiotherapy
Anti-Bacterial Agents
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Zsolt, S., János, P., Katalin, P., Sápy, P., Miklós, B., István, T., & Sándor, S. K. (2007). Sternoclavicularis ízület fertözésének sebészi kezelése. Magyar sebészet, 60(1), 514-517.

Sternoclavicularis ízület fertözésének sebészi kezelése. / Zsolt, Szentkereszty; János, Pósán; Katalin, Petö; Sápy, P.; Miklós, Boros; István, Takács; Sándor, Sz Kiss.

In: Magyar sebészet, Vol. 60, No. 1, 01.2007, p. 514-517.

Research output: Contribution to journalArticle

Zsolt, S, János, P, Katalin, P, Sápy, P, Miklós, B, István, T & Sándor, SK 2007, 'Sternoclavicularis ízület fertözésének sebészi kezelése.', Magyar sebészet, vol. 60, no. 1, pp. 514-517.
Zsolt S, János P, Katalin P, Sápy P, Miklós B, István T et al. Sternoclavicularis ízület fertözésének sebészi kezelése. Magyar sebészet. 2007 Jan;60(1):514-517.
Zsolt, Szentkereszty ; János, Pósán ; Katalin, Petö ; Sápy, P. ; Miklós, Boros ; István, Takács ; Sándor, Sz Kiss. / Sternoclavicularis ízület fertözésének sebészi kezelése. In: Magyar sebészet. 2007 ; Vol. 60, No. 1. pp. 514-517.
@article{bd4d8bada35c47d78fc9cdb2bb0fcad0,
title = "Sternoclavicularis {\'i}z{\"u}let fert{\"o}z{\'e}s{\'e}nek seb{\'e}szi kezel{\'e}se.",
abstract = "AIMS: The pyogenic infection of the sternoclavicular joint is a rare disease. The treatment can be conservative (antibiotics) or surgical (exposure and drainage of the joint or its resection). The authors analyze the causative and predisposing factors, the symptoms, the diagnosis, the questions of the therapy and its efficiency. PATIENTS AND METHODS: In the 6 cases (5 male, 1 female, average age: 56.8 years) the cause of the disease were trauma or metastatic septic focus in 2-2 cases and intraarticular injection or preceding radiotherapy in 1-1 case. Predisposing diseases (diabetes mellitus, gout, chronic alcoholism, liver cirrhosis) could be proved in two cases. The most frequent symptoms were the swelling and erythema of the joint, fever, pain and limitation of motion. In all cases the CT scan proved the destruction of the joint. In one case after unsuccessful conservative therapy and in 1-1 case after debridement and drainage because of concomitant multiple septic focuses and mediastinitis resection of the sternoclavicular joint was applied in a later second step. In the other three patients primary resection of the joint was performed. RESULTS: Both the conservative and drainage managements were insufficient. On the other hand the radical joint resection caused complete recovery in all cases. No intra and postoperative complications were observed. On an average 28.2 months after the radical operation the functional results were excellent. CONCLUSIONS: Relying upon the results, radical resection is supposed to be the most effective method. Conservative treatment or drainage are recommended only for cases associated with severe complications. Resection is worthy performing after the recovery of the concomitant illnesses.",
author = "Szentkereszty Zsolt and P{\'o}s{\'a}n J{\'a}nos and Pet{\"o} Katalin and P. S{\'a}py and Boros Mikl{\'o}s and Tak{\'a}cs Istv{\'a}n and S{\'a}ndor, {Sz Kiss}",
year = "2007",
month = "1",
language = "Hungarian",
volume = "60",
pages = "514--517",
journal = "Magyar Sebeszet",
issn = "0025-0295",
publisher = "Ifjusagi Lapkiado Vallalat",
number = "1",

}

TY - JOUR

T1 - Sternoclavicularis ízület fertözésének sebészi kezelése.

AU - Zsolt, Szentkereszty

AU - János, Pósán

AU - Katalin, Petö

AU - Sápy, P.

AU - Miklós, Boros

AU - István, Takács

AU - Sándor, Sz Kiss

PY - 2007/1

Y1 - 2007/1

N2 - AIMS: The pyogenic infection of the sternoclavicular joint is a rare disease. The treatment can be conservative (antibiotics) or surgical (exposure and drainage of the joint or its resection). The authors analyze the causative and predisposing factors, the symptoms, the diagnosis, the questions of the therapy and its efficiency. PATIENTS AND METHODS: In the 6 cases (5 male, 1 female, average age: 56.8 years) the cause of the disease were trauma or metastatic septic focus in 2-2 cases and intraarticular injection or preceding radiotherapy in 1-1 case. Predisposing diseases (diabetes mellitus, gout, chronic alcoholism, liver cirrhosis) could be proved in two cases. The most frequent symptoms were the swelling and erythema of the joint, fever, pain and limitation of motion. In all cases the CT scan proved the destruction of the joint. In one case after unsuccessful conservative therapy and in 1-1 case after debridement and drainage because of concomitant multiple septic focuses and mediastinitis resection of the sternoclavicular joint was applied in a later second step. In the other three patients primary resection of the joint was performed. RESULTS: Both the conservative and drainage managements were insufficient. On the other hand the radical joint resection caused complete recovery in all cases. No intra and postoperative complications were observed. On an average 28.2 months after the radical operation the functional results were excellent. CONCLUSIONS: Relying upon the results, radical resection is supposed to be the most effective method. Conservative treatment or drainage are recommended only for cases associated with severe complications. Resection is worthy performing after the recovery of the concomitant illnesses.

AB - AIMS: The pyogenic infection of the sternoclavicular joint is a rare disease. The treatment can be conservative (antibiotics) or surgical (exposure and drainage of the joint or its resection). The authors analyze the causative and predisposing factors, the symptoms, the diagnosis, the questions of the therapy and its efficiency. PATIENTS AND METHODS: In the 6 cases (5 male, 1 female, average age: 56.8 years) the cause of the disease were trauma or metastatic septic focus in 2-2 cases and intraarticular injection or preceding radiotherapy in 1-1 case. Predisposing diseases (diabetes mellitus, gout, chronic alcoholism, liver cirrhosis) could be proved in two cases. The most frequent symptoms were the swelling and erythema of the joint, fever, pain and limitation of motion. In all cases the CT scan proved the destruction of the joint. In one case after unsuccessful conservative therapy and in 1-1 case after debridement and drainage because of concomitant multiple septic focuses and mediastinitis resection of the sternoclavicular joint was applied in a later second step. In the other three patients primary resection of the joint was performed. RESULTS: Both the conservative and drainage managements were insufficient. On the other hand the radical joint resection caused complete recovery in all cases. No intra and postoperative complications were observed. On an average 28.2 months after the radical operation the functional results were excellent. CONCLUSIONS: Relying upon the results, radical resection is supposed to be the most effective method. Conservative treatment or drainage are recommended only for cases associated with severe complications. Resection is worthy performing after the recovery of the concomitant illnesses.

UR - http://www.scopus.com/inward/record.url?scp=34347221600&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34347221600&partnerID=8YFLogxK

M3 - Article

VL - 60

SP - 514

EP - 517

JO - Magyar Sebeszet

JF - Magyar Sebeszet

SN - 0025-0295

IS - 1

ER -