Sternoclavicularis ízület fertözésének sebészi kezelése.

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

Research output: Article

2 Citations (Scopus)


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.

Translated title of the contributionSurgical management of sternoclavicular joint infections
Original languageHungarian
Pages (from-to)514-517
Number of pages4
JournalMagyar sebészet
Issue number1
Publication statusPublished - jan. 2007

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Sternoclavicularis ízület fertözésének sebészi kezelése.'. Together they form a unique fingerprint.

  • Cite this

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