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Sternoclavicular Joint Infection Treated with Debridement, Vancomycin-Loaded Calcium Sulfate, and Partial Pectoralis Muscle Flap

A Case Report

Huang, Kai, MD1; Zhang, Chun, MD1

doi: 10.2106/JBJS.CC.N.00229
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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.

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: hzhuangk@163.com

Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated
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