Treatment of Sternoclavicular Joint Osteomyelitis with Debridement and Delayed Resection with Muscle Flap Coverage Improves Outcomes

Figure 2

Algorithm of treatment of sternoclavicular joint osteomyelitis. Patients should be initially treated with systemic antibiotics. When there is progression of disease despite antibiotic treatment, the patient should undergo initial debridement and subsequent negative pressure therapy. If the patient is medically stable, then after two to three weeks the patient should have formal resection and muscle flap coverage.