Tooth-knuckle injury with osteomyelitis
History of two previous debridements and washouts in the preceding week after sustaining a tooth-knuckle injury. Now with increasing pain and fever.
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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.
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.
- 1. Basadre JO, Parry SW. Indications for surgical débridement in 125 human bites to the hand. (1991) Archives of surgery (Chicago, Ill. : 1960). 126 (1): 65-7. Pubmed