WEKO3
アイテム
Treatment strategy for septic arthritis of the sternoclavicular joint with osteomyelitis, large abscesses, and mediastinitis: A case report
http://hdl.handle.net/10458/0002001830
http://hdl.handle.net/10458/000200183015c9fa34-1688-4912-9f02-9482bf079cf9
| 名前 / ファイル | ライセンス | アクション |
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| アイテムタイプ | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||||
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| 公開日 | 2025-10-14 | |||||||||||||||||||||||
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| タイトル | Treatment strategy for septic arthritis of the sternoclavicular joint with osteomyelitis, large abscesses, and mediastinitis: A case report | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
| キーワード | Case report | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | Omental flap | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | Osteomyelitis | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | Septic arthritis of the sternoclavicular joint | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | Surgery | |||||||||||||||||||||||
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| 資源タイプ | journal article | |||||||||||||||||||||||
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| アクセス権 | open access | |||||||||||||||||||||||
| 著者 |
前田, 亮
× 前田, 亮
WEKO
33607
× 山田, 隆盛× 猪俣, 麻佑
WEKO
34841
× 河野, 文彰
WEKO
34859
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| 内容記述タイプ | Abstract | |||||||||||||||||||||||
| 内容記述 | Introduction and importance Septic arthritis of the sternoclavicular joint (SASCJ) accounts for <1 % of all joint infections. Owing to the limited literature on the disease, there is no consensus on the general treatment for SASCJ. Here, we report a case of SASCJ complicated by osteomyelitis, mediastinitis, infectious myositis, and cervical and chest wall abscesses that required radical sternoclavicular joint resection and reconstruction using the greater omental flap. In this report, we discuss the treatment strategy for advanced SASCJ cases. Case presentation A 65-year-old man was diagnosed with SASCJ relapse after the failure of antibiotic therapy alone, combined with osteomyelitis, mediastinitis, infectious myositis, and cervical and chest wall abscesses. A radical sternoclavicular joint resection was performed. After negative-pressure wound therapy, serial re-debridement was performed. The greater omental flap was transported into a deep, large residual space. The patient has been relapse-free for 1 year. Clinical discussion Radical resection of the entire sternoclavicular joint should be the preferred management strategy for patients with sternoclavicular joint infections, especially in cases of osteomyelitis. Although the pectoralis major flap is typically the first choice to cover the defect, we used the omental flap because the locoregional flaps were not large enough to reconstruct the defect. Conclusion The greater omental flap is an advantageous alternative when there is a need to provide coverage for large defects in cases of SASCJ. |
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| 言語 | en | |||||||||||||||||||||||
| 書誌情報 |
en : International journal of surgery case reports 巻 136, p. 111986, 発行日 2025-11 |
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| 出版者 | Elsevier | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
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| 収録物識別子タイプ | EISSN | |||||||||||||||||||||||
| 収録物識別子 | 22102612 | |||||||||||||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1016/j.ijscr.2025.111986 | |||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||
