Fracture of the Distal Radius by Tuberculous Osteomyelitis: A Case Report and Review of Literature.

Journal: The Journal Of Hand Surgery Asian-Pacific Volume
Treatment Used: Anti-Tuberculosis Therapy and Surgery
Number of Patients: 1
MediFind Summary

Overview: This case report describes a 94-year-old patient with a fractured radius from tuberculosis osteomyelitis treated with anti-tuberculosis therapy and surgery.

Conclusion: A very elderly patient with a fractured radius from tuberculosis osteomyelitis was successfully treated with anti-tuberculosis therapy and surgery.

Abstract

We report a 94-year-old patient with a fractured radius that was being managed conservatively. At 2 months, an abscess was observed overlying the fracture site. An MRI scan was done and samples obtained for microbiological and pathological analyses. The patient was diagnosed with tuberculous osteomyelitis. Surgical debridement of the fracture site was performed, and the bone defect was filled with bone cement impregnated with gentamicin and rifampicin. Anti-tuberculosis therapy was administered for 9 months and the patient made an uneventful recovery. Early diagnosis and correct medical treatment depend on sound evidence of tuberculous osteomyelitis. Surgical debridement is essential if abscesses are present in the bone. Level of Evidence: Level V (Therapeutic).

Authors
Alejandro Garcia Reza, Manuel Castro Menendez, Diego Dominguez Prado, Javier Yañez Calvo
Relevant Conditions

Osteomyelitis

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