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Ann Thorac Surg 2002;74:1225-1227
© 2002 The Society of Thoracic Surgeons

Case report

Spontaneous sternoclavicular joint infections

Michel Haddad, MDa, Donna E. Maziak, MDCM*a, Farid M. Shamji, MDb

a Department of Surgery, Division of Cardiac, University of Ottawa, Ottawa Hospital, Ottawa, Ontario, Canada
b Division of Thoracic Surgery, University of Ottawa, Ottawa Hospital, Ottawa, Ontario, Canada

Accepted for publication May 19, 2002.

* Address reprint requests to Dr Maziak, Ottawa Hospital, General Campus, 501 Smyth Road 6NW-6354, Ottawa, ONT, Canada K1H-8L6
e-mail: dmaziak{at}ottawahospital.on.ca

Spontaneous sternoclavicular (SC) joint infections are uncommon. Most cases of contained SC joint infections respond well to conservative treatment measures such as intravenous antibiotics and local drainage. However, some cases are more extensive, extending beyond the boundaries of the joint capsule, occasionally involving the anterior chest wall and mediastinum. We report our experience with 3 patients with spontaneous advanced SC joint infections. Radical surgical treatment seemed to provide the best control of this infection.




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