Osteomyelitis Secondary to Ponseti Method for the Treatment of Clubfoot Associated with Meningomyelocele
| Autor: | Sarrah Ali Asghar, Kashif H Qadri, Laila Tul Qadar, Faryal Tahir, Zainab Majid |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Clubfoot medicine.medical_treatment Tenotomy 030204 cardiovascular system & hematology Pediatrics clubfoot 03 medical and health sciences 0302 clinical medicine ponseti method medicine Congenital talipes equinovarus congenital talipes equinovarus Foot deformity Achilles tendon business.industry Osteomyelitis General Engineering meningomyelocele osteomyelitis medicine.disease Ponseti method Surgery medicine.anatomical_structure Orthopedics Neurology Cellulitis business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Congenital talipes equinovarus (CTEV), otherwise known as clubfoot (CF), is a common congenital abnormality of the foot, stemming in most cases from an idiopathic cause or in the remaining non-idiopathic occurrences, from meningomyelocele (MMC). Ponseti method (PM), being a gold standard treatment for the correction of this foot deformity, requires a series of regular casting usually accompanied by percutaneous tenotomy of the Achilles tendon and later maintained via abduction braces. Osteomyelitis (OM), as a complication of PM, is rarely reported especially in cases of CF-associated with MMC in which majority of the patients present with varying level of sensory deficit in the lower limbs. Therefore, the absence of pain due to neuropathy leads to a delayed diagnosis of cellulitis and chronic abscesses. We present a case of an eight-year-old male child with exogenous OM as a complication of PM affecting the tarsal bones of his right foot. After an established diagnosis using laboratory results and imaging modalities, the patient was successfully treated with broad spectrum antibiotics achieving full resolution of his clinical symptoms. We report this case due to its rarity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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