Case ReportsSternoclavicular Joint Infection Treated with Debridement, Vancomycin-Loaded Calcium Sulfate, and Partial Pectoralis Muscle Flap A Case ReportHuang, Kai MD1; Zhang, Chun MD1 Author Information 1Department of Orthopedics, Tongde Hospital of Zhejiang Province, 234 Gucui Road, Hangzhou, Zhejiang 310012, People’s Republic of China. E-mail address for K. Huang: [email protected] JBJS Case Connector: October 14, 2015 - Volume 5 - Issue 4 - p e86 doi: 10.2106/JBJS.CC.N.00229 Buy Metrics Abstract Case: We report the case of a forty-six-year-old man with a left sternoclavicular joint infection that was treated effectively with surgical debridement, the implantation of vancomycin-loaded calcium sulfate, a partial pectoralis major muscle flap, and two weeks of intravenous antibiotics. Conclusion: Sternoclavicular joint infection is a rare problem that has received little attention in the orthopaedic literature. The combined surgical procedure detailed here provided good soft-tissue coverage, avoided the potential toxic effect of prolonged systemic antibiotic therapy, and resulted in a good clinical outcome. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated
