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CT of the chest
54%
591/1090
Bone scan
10%
113/1090
Irrigation and debridement in the operating room
28%
304/1090
Lidocaine injection of the joint
3%
37/1090
Physical therapy
31/1090
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A common cause of a septic sternoclavicular (SC) joint is IV drug use. Recently, however, there have been case reports of septic SC joints in patients without a history of drug use; therefore, this history should not be used as a predictor of severity or extension beyond the SC joint capsule. Because of the risk of extension of the infection to the retrosternal area and pericardium, it is recommended that a CT scan be obtained before proceeding with any surgical management. A bone scan cannot accurately show abscess extension into the retrosternal area. Lidocaine injection and physical therapy should not be considered until infection is ruled out.
1.7
(36)
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