Tooth-knuckle injury with osteomyelitis

Case contributed by Dr Hamish Smith

Presentation

History of two previous debridements and washouts in the preceding week after sustaining a tooth-knuckle injury. Now with increasing pain and fever.

Patient Data

Age: 30 years
Gender: Male

An area of bone erosion is visible in the head of the third metacarpal.

Deformity of the fourth metacarpal shaft is in keeping with an old fracture.

Case Discussion

This is a case of osteomyelitis secondary to a previous tooth-knuckle injury sustained weeks before. Osteomyelitis is a common complication of tooth-knuckle injuries, occurring in one study in up to 47% of cases 1. A third debridement and washout performed by orthopedics showed visible signs of osteomyelitis.

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Case information

rID: 58668
Published: 10th Apr 2018
Last edited: 8th Feb 2019
Inclusion in quiz mode: Included

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