case_images: PMC8567852_01
case_images: Clinical presentation. Swelling over the right SCJ with
  inflammatory signs.
case_images: jbji-6-389-g01.jpg
case_images: PMC8567852_01_jbji-6-389-g01.jpg
case_images: Ch1.F1
case_images: She was hemodynamically stable, and clinical examination revealed a warm painful swelling overlying the medial part of her right clavicle as well as erythema extending to the anterior chest wall (Fig. 1).
case_images: CT scan of the chest demonstrating signs of septic arthritis of the right SCJ, with articular space widening with gas formation, integrity
  and thickening of the SCJ capsule (arrow); medial clavicle bone erosion and
  cortical irregularity (arrowhead); periarticular abscess extending to the
  retrosternal space (*) and pectoral muscle (**).
case_images: jbji-6-389-g02.jpg
case_images: PMC8567852_01_jbji-6-389-g02.jpg
case_images: Ch1.F2
case_images: Computed tomography (CT) scan (Fig. 2) findings were consistent with right SCJ septic arthritis complicated by periarticular abscess with gas formation.
case_images: SCJ arthrotomy and evacuation of purulent material.
case_images: jbji-6-389-g03.jpg
case_images: PMC8567852_01_jbji-6-389-g03.jpg
case_images: Ch1.F3
case_images: After arthrotomy, abundant purulent material (estimated 60 cc) was evacuated from the articular space, the pectoral fascia and the retrosternal space (Fig. 3).
case_images: Clinical evaluation at 2 years' follow-up. Complete and symmetrical range of motion in abduction (a, b). Cosmetic scar and mild reducible
  prominence of the medial clavicle (c).
case_images: jbji-6-389-g04.jpg
case_images: PMC8567852_01_jbji-6-389-g04.jpg
case_images: Ch1.F4
case_images: Clinical evaluation on the last visit revealed painless anterior reducible subluxation (positive medial piano-key sign) and a painless, symmetrical, full range of motion of the affected limb (Fig. 4), with a Constant score of 80.