Osteomyelitis as a Late Complication of Percutaneous Pinning of a Supracondylar Fracture of the Distal Part of the Humerus
- PMID: 29252767
- DOI: 10.2106/JBJS.CC.N.00063
Osteomyelitis as a Late Complication of Percutaneous Pinning of a Supracondylar Fracture of the Distal Part of the Humerus
Abstract
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.
References
-
- Iobst CA, Spurdle C, King WF, Lopez M. Percutaneous pinning of pediatric supracondylar humerus fractures with the semisterile technique: the Miami experience. J Pediatr Orthop. 2007 Jan-Feb;27(1):17-22.
-
- Bashyal RK, Chu JY, Schoenecker PL, Dobbs MB, Luhmann SJ, Gordon JE. Complications after pinning of supracondylar distal humerus fractures. J Pediatr Orthop. 2009 Oct-Nov;29(7):704-8.
-
- Schatzker J, Horne JG, Sumner-Smith G. The reaction of cortical bone to compression by screw threads. Clin Orthop Relat Res. 1975 Sep;(111):263-5.
-
- Green SA, Ripley MJ. Chronic osteomyelitis in pin tracks. J Bone Joint Surg Am. 1984 Sep;66(7):1092-8.
-
- Nguyen VD, London J, Cone RO 3rd. Ring sequestrum: radiographic characteristics of skeletal fixation pin-tract osteomyelitis. Radiology. 1986 Jan;158(1):129-31.
LinkOut - more resources
Full Text Sources
Other Literature Sources
