Restoring a functional and mobile shoulder following reconstruction of the sternoclavicular joint with a free vascularized fibular flap.

ABSTRACT: Infection of the sternoclavicular joint (SCJ) is rare and often missed at early stage. In extensive disease with bony and soft tissue destruction, radical excision is indicated. The loss of SCJ results in exposure of vital structures of the anterior mediastinum and instability of the shoulder girdle. SCJ reconstruction using locoregional muscle flaps like the pectoralis major or latissimus dorsi flap has been well described. While these options can provide soft tissue coverage, they do not restore the structural framework of the SCJ which is important for shoulder excursion and chest wall movement. We describe a case of SCJ reconstruction using a free vascularized fibular flap following the resection of sternoclavicular tubercular osteomyelitis. The fibula bone was used to restore the clav

SUBMITTER: Choke A 

PROVIDER: S-EPMC7061573 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature