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The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review

The treatment of sternoclavicular joint infection is a topic of controversy. This systematic review aims to evaluate the preferred treatment of sternoclavicular joint infections. A literature search using PubMed/MEDLINE®/Embase databases was conducted to identify publications on the surgical managem...

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Autores principales: Ali, Barkat, Barlas, Venus, Shetty, Anil K, Demas, Christopher, Schwartz, Jess D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7510516/
https://www.ncbi.nlm.nih.gov/pubmed/32983667
http://dx.doi.org/10.7759/cureus.9963
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author Ali, Barkat
Barlas, Venus
Shetty, Anil K
Demas, Christopher
Schwartz, Jess D
author_facet Ali, Barkat
Barlas, Venus
Shetty, Anil K
Demas, Christopher
Schwartz, Jess D
author_sort Ali, Barkat
collection PubMed
description The treatment of sternoclavicular joint infection is a topic of controversy. This systematic review aims to evaluate the preferred treatment of sternoclavicular joint infections. A literature search using PubMed/MEDLINE®/Embase databases was conducted to identify publications on the surgical management of sternoclavicular joint infections. Case reports and studies without surgical management were excluded. The outcomes of interest included patient demographics, comorbidities, infectious etiologies, radiographic features, surgical management, and complications. Sixteen articles met the inclusion criteria. The mean age of the subjects was 53.4 years; there was a predominance of males (65%), and a minority of the subjects were obese (15%). The most common infectious etiology was methicillin-susceptible Staphylococcus aureus (MSSA) (48%). CT scan was reported in 46% of cases. The most common treatment was surgical resection of the joints (85%), followed by muscle flap closure of the wounds (54.2%). The complication rate ranged from 0-40%. Specifically, recurrence of infection was low with resection of the joint, followed by muscle flap closure. Given the heterogeneity of the methodology and inconsistency in the outcomes, a meta-analysis could not be performed. Overall, the current literature favors the resection of the sternoclavicular joint as the gold standard treatment. Closure of the wound using muscle flap seems to adequately treat this problem without any major untoward events.
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spelling pubmed-75105162020-09-24 The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review Ali, Barkat Barlas, Venus Shetty, Anil K Demas, Christopher Schwartz, Jess D Cureus Cardiac/Thoracic/Vascular Surgery The treatment of sternoclavicular joint infection is a topic of controversy. This systematic review aims to evaluate the preferred treatment of sternoclavicular joint infections. A literature search using PubMed/MEDLINE®/Embase databases was conducted to identify publications on the surgical management of sternoclavicular joint infections. Case reports and studies without surgical management were excluded. The outcomes of interest included patient demographics, comorbidities, infectious etiologies, radiographic features, surgical management, and complications. Sixteen articles met the inclusion criteria. The mean age of the subjects was 53.4 years; there was a predominance of males (65%), and a minority of the subjects were obese (15%). The most common infectious etiology was methicillin-susceptible Staphylococcus aureus (MSSA) (48%). CT scan was reported in 46% of cases. The most common treatment was surgical resection of the joints (85%), followed by muscle flap closure of the wounds (54.2%). The complication rate ranged from 0-40%. Specifically, recurrence of infection was low with resection of the joint, followed by muscle flap closure. Given the heterogeneity of the methodology and inconsistency in the outcomes, a meta-analysis could not be performed. Overall, the current literature favors the resection of the sternoclavicular joint as the gold standard treatment. Closure of the wound using muscle flap seems to adequately treat this problem without any major untoward events. Cureus 2020-08-23 /pmc/articles/PMC7510516/ /pubmed/32983667 http://dx.doi.org/10.7759/cureus.9963 Text en Copyright © 2020, Ali et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Ali, Barkat
Barlas, Venus
Shetty, Anil K
Demas, Christopher
Schwartz, Jess D
The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review
title The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review
title_full The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review
title_fullStr The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review
title_full_unstemmed The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review
title_short The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review
title_sort preferred treatment of sternoclavicular joint infections: a systematic review
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7510516/
https://www.ncbi.nlm.nih.gov/pubmed/32983667
http://dx.doi.org/10.7759/cureus.9963
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