Osteomyelitis as a Late Complication of Percutaneous Pinning of a Supracondylar Fracture of the Distal Part of the Humerus.

Autor: Pulos N; Hospital of the University of Pennsylvania, 2 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104. nicholas.pulos@uphs.upenn.edu., Carrigan RB; Division of Orthopaedic Surgery, Children's Hospital of Philadelphia, Wood Building, 2nd Floor, 34th Street and Civic Boulevard, Philadelphia, PA 19104. carriganr@email.chop.edu.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2014 Oct/Dec/Nov; Vol. 4 (4), pp. e99.
DOI: 10.2106/JBJS.CC.N.00063
Abstrakt: Case: We report a case of an eleven-year-old boy who presented to our clinic with a draining wound from the left elbow. He had a history of a left closed supracondylar humeral fracture that had been treated with closed reduction and percutaneous pinning at five years of age, and he subsequently developed late-onset osteomyelitis. The patient was successfully treated with surgical irrigation and debridement, followed by intravenous and oral antibiotics.
Conclusion: Dormant osteomyelitis should be considered in the differential diagnosis for any child who presents with elbow symptoms with a prior history of a supracondylar humeral fracture that has been treated with closed reduction and percutaneous pinning.
Databáze: MEDLINE