{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:55:32Z","timestamp":1740171332655,"version":"3.37.3"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction Septic arthritis of the sternoclavicular joint (SCJ) is a\n\t\t\t\t\trarity in everyday surgical practice with 0.5\u200a\u2013\u200a1% of all joint infections.\n\t\t\t\t\tAlthough there are several risk factors for the occurrence of this disease, also\n\t\t\t\t\thealthy people can sometimes be affected. The clinical appearance is very\n\t\t\t\t\tvariable and ranges from unspecific symptoms such as local indolent swelling,\n\t\t\t\t\tredness or restricted movement of the affected shoulder girdle to serious\n\t\t\t\t\tconsequences (mediastinitis, sepsis, jugular vein thrombosis). Together with the\n\t\t\t\t\tlow incidence and the unfamiliarity of the disease among practicing doctors in\n\t\t\t\t\tother specialties, this often results in a delay in the diagnosis, which in\n\t\t\t\t\taddition to a significant reduction in the quality of life can also have\n\t\t\t\t\tdevastating consequences for the patient.<\/jats:p><jats:p>\n          Patient and Method According to a stage-dependent procedure, the therapy\n\t\t\t\t\tstrategies range from antibiotic administration only to radical resection of the\n\t\t\t\t\tSC joint and other affected structures of the chest wall in severe cases with\n\t\t\t\t\tthe following necessity for flap reconstruction. The aspect of possible\n\t\t\t\t\tpost-interventional instability after resection of the SCJ receives little or no\n\t\t\t\t\tattention in the current literature. In the present case report of a\n\t\t\t\t\t51-year-old, otherwise healthy gentleman with isolated monoarthritis of the\n\t\t\t\t\tright SCJ with Escherichia coli (E. coli) shortly after two prostatitis\n\t\t\t\t\tepisodes, the possibility of a new surgical approach with a one-stage\n\t\t\t\t\teradication and simultaneous stabilization of the SCJ is presented. Therefore, a\n\t\t\t\t\tjoint resection including extensive debridement is performed while leaving the\n\t\t\t\t\tposterior joint capsule and inserting an antibiotic carrier. In the same\n\t\t\t\t\tprocedure, the SCJ is then stabilized with an autologous gracilis tendon graft\n\t\t\t\t\tby using the \u201cfigure of eight\u201d technique, which has become well established\n\t\t\t\t\tparticularly for anterior instabilities of the SCJ in recent years.<\/jats:p><jats:p>\n          Results and Conclusion One year after operative therapy, the patient\n\t\t\t\t\tpresented symptom-free with an excellent clinical result (SSV 90%, CS89 points,\n\t\t\t\t\tCSM 94 points, TF 11 points, DASH 2.5 points). It is concluded that in selected\n\t\t\t\t\tcases with an infection restricted to the SCJ without major abscessing in the\n\t\t\t\t\tsurrounding soft tissues, the demonstrated procedure leads to good and excellent\n\t\t\t\t\tclinical results with stability of the joint. If the focus of infection and germ\n\t\t\t\t\tare known, stabilization using an autologous graft can be carried out under\n\t\t\t\t\tantibiotic shielding. To the best of the authors\u02bc knowledge, this surgical\n\t\t\t\t\tprocedure has not yet been described in the current literature. Depending on the\n\t\t\t\t\textent of the resection, an accompanying stabilization of the SCJ should be\n\t\t\t\t\tconsidered to achieve stable conditions and an optimal clinical outcome.<\/jats:p>","DOI":"10.1055\/a-1219-8342","type":"journal-article","created":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T22:39:38Z","timestamp":1600123178000},"page":"64-73","source":"Crossref","is-referenced-by-count":1,"title":["Innovative Surgical Concept for Septic Sternoclavicular\n\t\t\t\t\tArthritis: Case Presentation of a Simultaneous Joint Resection and Stabilization\n\t\t\t\t\twith Gracilis Tendon Graft Including Literature Review"],"prefix":"10.1055","volume":"160","author":[{"given":"Marek","family":"Hanhoff","sequence":"additional","affiliation":[{"name":"Orthopaedic and Trauma Surgery, DIAKOVERE Friederikenstift,\n\t\t\t\t\tHanover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar","family":"Jensen","sequence":"additional","affiliation":[{"name":"Orthopaedic and Trauma Surgery, DIAKOVERE Friederikenstift,\n\t\t\t\t\tHanover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3530-6726","authenticated-orcid":false,"given":"Rony-Orijit","family":"Dey Hazra","sequence":"additional","affiliation":[{"name":"Orthopaedic and Trauma Surgery, DIAKOVERE Friederikenstift,\n\t\t\t\t\tHanover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Lill","sequence":"additional","affiliation":[{"name":"Orthopaedic and Trauma Surgery, DIAKOVERE Friederikenstift,\n\t\t\t\t\tHanover"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,14]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1136\/ard.17.1.97","article-title":"Osteo-arthritis of the sterno-clavicular joint","volume":"17","author":"J Arlet","year":"1958","journal-title":"Ann Rheum 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Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1219-8342.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T00:40:38Z","timestamp":1665794438000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1219-8342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,14]]},"references-count":32,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,2,10]]},"published-print":{"date-parts":[[2022,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1219-8342","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"type":"print","value":"1864-6697"},{"type":"electronic","value":"1864-6743"}],"subject":[],"published":{"date-parts":[[2020,9,14]]}}}