Schmidt-Rohlfing B, Dittrich M, Haas V, Kuhtin O
Klinik für Orthopädie und Unfallchirurgie, Siloah - St. Trudpert Klinikum, 75179 Pforzheim.
Z Orthop Unfall. 2012 Dec;150(6):624-6. doi: 10.1055/s-0032-1328010. Epub 2013 Jan 7.
After infection of a vascular prosthesis with generalised sepsis, a 59-year-old male patient suffered from an increasing swelling of his right sternoclavicular joint. We performed an incision and debridement of the SC joint and harvested material for microbiological diagnosis. However, we were not able to overcome the inflammation until we performed a radical resection including the medial aspect of the clavicle and parts of the manubrium followed by coverage with a pectoralis flap. The further course was uneventful with a good functional result. Reviewing data from the literature there are no unequivocal guidelines available for this rare disease. However, in most cases a radical debridement and a consecutive flap coverage are required.
一名59岁男性患者的血管假体发生全身性脓毒症感染后，其右胸锁关节肿胀加剧。我们对胸锁关节进行了切开清创，并采集材料进行微生物诊断。然而，在我们进行包括锁骨内侧和部分胸骨柄的根治性切除并随后用胸大肌瓣覆盖之前，炎症一直无法得到控制。术后恢复顺利，功能恢复良好。回顾文献数据，对于这种罕见疾病尚无明确的指导方针。然而，在大多数情况下，需要进行根治性清创和后续的皮瓣覆盖。
