Osteomyelitis - femur

Case contributed by Dr Farhad Farzam

Presentation

Right thigh swelling, pain and discharge.

Patient Data

Age: 12 years
Gender: Male
MRI
  • Bone marrow edema in the right femoral diaphysis and distal metaphysis
  • Multiple intra-medullary collections (Brodie's abscess)
  • Multiple cloaca along the distal diaphysis
  • Cortical destructive changes in the right femur 
  • Soft tissue inflammatory changes in the middle and distal parts of right thigh

Case Discussion

MRI has advantages in detection of osteomyelitis and its complication such as intra-medullary abscess formation, soft tissue and epiphyseal involvement.

Bone marrow edema, intra medullary abscess formation, soft tissue inflammation, cloaca formation and cortical destructive changes are characteristic for osteomyelitis.

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Case information

rID: 70131
Published: 3rd Aug 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Kabul University of Medical Science

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