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Ann Thorac Surg 2007;83:1190-1194
© 2007 The Society of Thoracic Surgeons

Case Reports

Septic Arthritis of the Manubriosternal Joint

Edward W.K. Peng, MRCSa, Graham McKillop, FRCRb, Sai Prasad, FRCSa, William S. Walker, FRCSa,*

a Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
b Department of Radiology, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom

Accepted for publication July 18, 2006.

* Address correspondence to Mr Walker, Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh EH16 4SA, UK (Email: william.walker{at}luht.scot.nhs.uk).

Pyarthrosis of the manubriosternal joint is exceedingly rare. Its rarity defies an early diagnosis, and other causes of chest pain would normally be ruled out first. We describe a patient with a short history of chest pain, pyrexia, and raised inflammatory markers. A destroyed manubriosternal joint with a large abscess was found during surgical exploration. This case illustrates an unusually rapid development of septic arthritis involving a fibrocartilaginous joint in an otherwise healthy young man. Nine other cases have been described in the literature and are reviewed. Early diagnosis followed by adequate surgical drainage and antibiotic therapy led to a good outcome.




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[Abstract] [Full Text] [PDF]


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