Korean J Thorac Cardiovasc Surg.  2008 Dec;41(6):799-802.

Pectoral Advancement Flap for the Treatment of Sternoclavicular Joint Infection

• Bae CH
• Park KS

Abstract

Infection occurs very rarely in the sternoclavicular joint compared to other joints in the body. It occurs mainly in IV drug abusers, diabetics, chronic renal failure patients, septic patients and those with central vein catheters. In the early phase, it can be treated simply by antibiotics or incision, and drainage. However, when proper treatment is not begun early, bone destruction can occur, and only en-bloc resection of the involved bone can cure it. To reduce the risk of recurrence, we advanced a pectoralis major flap into the resected area based on the feeding artery. We report a case of a patient with sternoclavicular osteomyelitis who was successfully treated using en-bloc resection and a pectoral advancement flap.

Keyword

Infection; Sternoclavicular joint; Surgical flap

MeSH Terms

Anti-Bacterial Agents
Arteries
Catheters
Drainage
Drug Users
Humans
Joints
Kidney Failure, Chronic
Osteomyelitis
Recurrence
Sternoclavicular Joint
Surgical Flaps
Veins
Anti-Bacterial Agents