Staphylococcal diaphyseal subacute osteomyelitis of the ulna in a child: an unusual cause of post-traumatic forearm swelling.

Hdl Handle:
http://hdl.handle.net/10147/128341
Title:
Staphylococcal diaphyseal subacute osteomyelitis of the ulna in a child: an unusual cause of post-traumatic forearm swelling.
Authors:
Kearns, S R; Sheehan, E; Mulhall, K J; O'Connor, P A; McCormack, D
Affiliation:
Department of Orthopaedic Surgery, Temple Street Children's Hospital, Dublin 1, Ireland. doc_sk72@hotmail.com
Citation:
Staphylococcal diaphyseal subacute osteomyelitis of the ulna in a child: an unusual cause of post-traumatic forearm swelling. 2004, 97 (1):19-20 Ir Med J
Journal:
Irish medical journal
Issue Date:
Jan-2004
URI:
http://hdl.handle.net/10147/128341
PubMed ID:
15055916
Abstract:
Paediatric subacute osteomyelitis (SAO) presents a diagnostic and therapeutic challenge to clinicians. Typically located in the metaphysis of long bones, diaphyseal SAO of the upper limb is rare. We present the case of a three-year-old girl referred to our fracture clinic as an occult fracture following trauma to her forearm with normal initial radiographs. Follow-up radiographs one week later showed cortical erosion of the distal ulna, while a subsequent MRI scan showed soft tissue swelling with an area of high signal in the distal ulna. A limited biopsy diagnosed staphylococcal subacute osteomyelitis of the ulna. The patient responded to high dose antibiotic therapy and made a full recovery. We present this case to highlight the high index of suspicion required to diagnose and appropriately manage this insidious condition, which may easily be confused with any number of benign and malignant bony lesions and provide a review of the relevant literature.
Item Type:
Article
Language:
en
MeSH:
Anti-Bacterial Agents; Child, Preschool; Diaphyses; Drug Therapy, Combination; Female; Follow-Up Studies; Fracture Healing; Humans; Infusions, Intravenous; Injury Severity Score; Osteomyelitis; Risk Assessment; Severity of Illness Index; Staphylococcal Infections; Treatment Outcome; Ulna Fractures
ISSN:
0332-3102
Sponsors:
Reproduced with permission from the Irish Medical Journal

Full metadata record

DC FieldValue Language
dc.contributor.authorKearns, S Ren
dc.contributor.authorSheehan, Een
dc.contributor.authorMulhall, K Jen
dc.contributor.authorO'Connor, P Aen
dc.contributor.authorMcCormack, Den
dc.date.accessioned2011-04-19T11:19:04Z-
dc.date.available2011-04-19T11:19:04Z-
dc.date.issued2004-01-
dc.identifier.citationStaphylococcal diaphyseal subacute osteomyelitis of the ulna in a child: an unusual cause of post-traumatic forearm swelling. 2004, 97 (1):19-20 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid15055916-
dc.identifier.urihttp://hdl.handle.net/10147/128341-
dc.description.abstractPaediatric subacute osteomyelitis (SAO) presents a diagnostic and therapeutic challenge to clinicians. Typically located in the metaphysis of long bones, diaphyseal SAO of the upper limb is rare. We present the case of a three-year-old girl referred to our fracture clinic as an occult fracture following trauma to her forearm with normal initial radiographs. Follow-up radiographs one week later showed cortical erosion of the distal ulna, while a subsequent MRI scan showed soft tissue swelling with an area of high signal in the distal ulna. A limited biopsy diagnosed staphylococcal subacute osteomyelitis of the ulna. The patient responded to high dose antibiotic therapy and made a full recovery. We present this case to highlight the high index of suspicion required to diagnose and appropriately manage this insidious condition, which may easily be confused with any number of benign and malignant bony lesions and provide a review of the relevant literature.-
dc.description.sponsorshipReproduced with permission from the Irish Medical Journalen
dc.language.isoenen
dc.subject.meshAnti-Bacterial Agents-
dc.subject.meshChild, Preschool-
dc.subject.meshDiaphyses-
dc.subject.meshDrug Therapy, Combination-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshFracture Healing-
dc.subject.meshHumans-
dc.subject.meshInfusions, Intravenous-
dc.subject.meshInjury Severity Score-
dc.subject.meshOsteomyelitis-
dc.subject.meshRisk Assessment-
dc.subject.meshSeverity of Illness Index-
dc.subject.meshStaphylococcal Infections-
dc.subject.meshTreatment Outcome-
dc.subject.meshUlna Fractures-
dc.titleStaphylococcal diaphyseal subacute osteomyelitis of the ulna in a child: an unusual cause of post-traumatic forearm swelling.en
dc.typeArticleen
dc.contributor.departmentDepartment of Orthopaedic Surgery, Temple Street Children's Hospital, Dublin 1, Ireland. doc_sk72@hotmail.comen
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster-

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