Surgical management of stern

Downloaded by guest on 12 Febru fistula or sinus or recurrence or persistence of infection. Surgical management included incision and drainage alone, incision—drainage and curettage or SCJ resection. The type of the surgical management depended on various factors including the initial presentation of the patient, the patient’s general condition, radiological findings and recurrence after initial management. We preferred to start with the least invasive surgery in those patients with poor general conditions, as most of them present with advanced stages of CRFor DM or they were drug addicts. Fig. 4 demonstrates the algorithm we propose in the management of SCJ infection. After resection of SCJ, the wound was closed primarily in most of the cases without encountering any problem and with good cosmetic results. We did not need reconstructive manoeuvre in those patients who underwent SCJ resection. There was no restriction in shoulder movements at follow-up. All patients are doing well without symptoms or recurrence of infection.