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胸锁关节化脓性关节炎与手术干预：一例报告

Sternoclavicular Septic Arthritis and Surgical Intervention: A Case Report.

作者信息

Alnasser Abdullah, Alamari Zeyad S, Almutairi Taif M, Aljohani Hamid T, Almulla Ahmed M

机构信息

Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh, SAU.

Orthopaedics, Prince Sultan Military Medical City, Riyadh, SAU.

出版信息

Cureus. 2024 Jan 26;16(1):e53002. doi: 10.7759/cureus.53002. eCollection 2024 Jan.

DOI:10.7759/cureus.53002
PMID:38406090
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10894666/
Abstract

Management of septic arthritis is an area of controversy, especially in rare locations like the sternoclavicular joints. In this case report, we present a case of septic sternoclavicular joint, which was resistant to medical treatment and deteriorated during the treatment course. Although medical treatment has proven effective based on previous literature, some cases will still not benefit from it. In this case, our patient responded significantly to surgical treatment regarding upper limb function, faster infection eradication and rehabilitation, and shorter hospitalization and antibiotics duration.

摘要

化脓性关节炎的治疗存在争议，尤其是在像胸锁关节这样的罕见部位。在本病例报告中，我们呈现了一例对药物治疗耐药且在治疗过程中病情恶化的化脓性胸锁关节病例。尽管根据以往文献药物治疗已被证明有效，但仍有一些病例无法从中获益。在该病例中，我们的患者在接受手术治疗后，上肢功能、感染清除速度和康复情况均有显著改善，住院时间和抗生素使用时长也明显缩短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/560c4eacb6c9/cureus-0016-00000053002-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/ef82bedc9923/cureus-0016-00000053002-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/b569b2e1d965/cureus-0016-00000053002-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/955484be02ba/cureus-0016-00000053002-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/560c4eacb6c9/cureus-0016-00000053002-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/ef82bedc9923/cureus-0016-00000053002-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/b569b2e1d965/cureus-0016-00000053002-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/955484be02ba/cureus-0016-00000053002-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df5e/10894666/560c4eacb6c9/cureus-0016-00000053002-i04.jpg

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本文引用的文献

1
Sternoclavicular Septic Arthritis: A Case Report.胸锁关节化脓性关节炎：一例报告
Cureus. 2023 Apr 25;15(4):e38130. doi: 10.7759/cureus.38130. eCollection 2023 Apr.
2
Sternoclavicular Septic Arthritis: Partial Resection is Still an Option - A Case Report.胸锁关节化脓性关节炎：部分切除术仍是一种选择——病例报告
J Orthop Case Rep. 2021 Nov;11(11):34-38. doi: 10.13107/jocr.2021.v11.i11.2506.
3
Correction: The Preferred Treatment of Sternoclavicular Joint Infections: A Systematic Review.更正：胸锁关节感染的首选治疗方法：一项系统评价。
Cureus. 2021 Jun 4;13(6):c42. doi: 10.7759/cureus.c42.
4
Diagnosis and management of sternoclavicular joint infections: a literature review.胸锁关节感染的诊断与管理：文献综述
J Thorac Dis. 2020 Aug;12(8):4418-4426. doi: 10.21037/jtd-20-761.
5
Sternoclavicular joint septic arthritis presenting as cervical abscess and subcutaneous emphysema: A case report.表现为颈部脓肿和皮下气肿的胸锁关节化脓性关节炎：一例报告
SAGE Open Med Case Rep. 2020 Feb 4;8:2050313X20902874. doi: 10.1177/2050313X20902874. eCollection 2020.
6
Sternoclavicular septic arthritis caused by : excellent results from medical treatment and limited surgery.胸锁关节化脓性关节炎：内科治疗与有限手术治疗的良好结果。
Infect Dis (Lond). 2019 Sep;51(9):694-700. doi: 10.1080/23744235.2019.1639810. Epub 2019 Jul 12.
7
Epidemiology, Management, and Outcomes of Large and Small Native Joint Septic Arthritis in Adults.成人大型和小型原发性关节脓毒性关节炎的流行病学、管理和结局。
Clin Infect Dis. 2020 Jan 2;70(2):271-279. doi: 10.1093/cid/ciz265.
8
Surgical management of sternoclavicular joint septic arthritis.胸锁关节化脓性关节炎的手术治疗
J Clin Orthop Trauma. 2019 Mar-Apr;10(2):406-413. doi: 10.1016/j.jcot.2018.05.001. Epub 2018 May 8.
9
Treatment for sternoclavicular joint infections: a multi-institutional study.胸锁关节感染的治疗：一项多机构研究。
J Thorac Dis. 2017 Jun;9(6):1503-1508. doi: 10.21037/jtd.2017.05.76.
10
Clinical manifestations, treatment outcomes, and risk factors for sternoclavicular septic arthritis.胸锁关节化脓性关节炎的临床表现、治疗结果及危险因素
Rheumatol Int. 2017 May;37(5):819-824. doi: 10.1007/s00296-017-3673-x. Epub 2017 Feb 26.