Osteomyelitis - first digit proximal phalanx

Case contributed by Derek Smith
Diagnosis almost certain

Presentation

Delayed presentation following dog bite to right thumb. In theater for washout and exploration, frank pus expressed from bone and check x-ray performed.

Patient Data

Age: 30 years
Gender: Female

Fracture at base of the proximal phalanx of the right thumb extending to the articular surface. Associated overlying soft tissue injury. No foreign body visualized.

Case Discussion

This patient had repeated washouts of this wound and joint.  There was no significant growth on culture of the expressed pus.

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