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J Intern Med. 1990 Sep;228(3):275-8. doi: 10.1111/j.1365-2796.1990.tb00231.x.

Septic arthritis of the sternoclavicular joint in healthy adults.

Journal of internal medicine

S Gillis, B Friedman, Y Caraco, A Blankstein, A Yellin, G Friedman

Affiliations

  1. Department of Internal Medicine B, Hadassah University Hospital, Ein Karem, Jerusalem, Israel.

PMID: 2401877 DOI: 10.1111/j.1365-2796.1990.tb00231.x

Abstract

Septic arthritis of the sternoclavicular joint (SCJ) is a rare disorder, and is usually associated with predisposing factors such as contiguous foci of infection, heroin addiction, rheumatoid arthritis and diabetes mellitus. Three cases in previously healthy adults are reported here. The aetiology, clinical manifestations and treatment are briefly reviewed. The considerable difficulty in diagnosing this disorder in adults is emphasized. In summary, diagnosis of septic arthritis of the SCJ in adults requires a high index of suspicion, and must be considered not only in patients with predisposing factors, but also in previously healthy adults.

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