Dog bite fracture

Case contributed by Dr Chris O'Donnell

Presentation

Dog bite to the wrist

Patient Data

Age: 80
Gender: Male
X-ray

Depressed cortical defect involving the dorsal cortex of the distal radius (arrows)

CT

CT performed to confirm x-ray findings and to exclude tooth fragment

Confirmed punched-in defect involving the dorsal cortex with depressed cortical fragments.  Note the defect in skin apparently remote from the fracture (arrow) indicating an oblique path through the soft tissues.  No tooth fragment seen.

Case Discussion

Animal bites are prone to secondary infection by atypical/exotic bacteria.  This defect in the bone required surgical wash-out in order to prevent osteomyelitis.

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Case information

rID: 57885
Published: 19th Jan 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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