Flowerpot sequestrum of the Humerus Neglect for 10 years!!

What to Learn from this Article?

 1.Neglected Chronic osteomyelitis – Medical and social perspective

 

2. Surgical Management of such complicated cases – Clinical decision making


Case Report

Volume 2 | Issue 4 | JOCR Oct-Dec 2012 | Page 32-34 |  Sharma R


Flowerpot sequestrum of the Humerus Neglect for 10 years!!


 Authors: Rakesh Sharma [1]

[1] Department Of Orthopaedics, Govt. Medical College, Amritsar.India.

Address of Correspondence: Dr Rakesh Sharma, 231-Green Avenue, Amritsar (Punjab),Pin- 143001.India. Email: drrksharma50@yahoo.com


 Abstract

  Introduction:Neglected cases of osteomyelitis are not uncommon. We present a case of humerus osteomyelitis neglected for 10 years and presented with a sequestrum protruding out of the arm in the shape of a flowerpot. Such a long duration of neglect and a startling presentation are rare and have implications not only on healthcare but also reflect the socio-economic and cultural fabric of the society.

 Case Report:22 year old lady presented with history of bone jutting out of right arm since last 10 years. She had a trivial injury to the arm 10 years back followed by pain and fever. She was treated by local osteopath and ‘registered’ doctors but developed wound over the arm with purulent discharge. On and off treatment with dressing was continued with symptomatic relief but in few weeks bone fragment started protruding out of the wound. The size of bone protruding from the wound increased gradually with on and off history of discharge since 10 years. Clinically a flowerpot shaped sequestrum was seen protruding from the arm. Radiographs showed a defined diaphyseal sequestrum of the humerus with continuity of the bone maintained by new bone formation. Sequestrectomy was done and at one year follow up patient was fine with no recurrence of infection.

 Conclusion:Lack of health infrastructure, ignorance, and other social and cultural factors lead to such bad wounds. Even with such long history a single surgery for debridement and sequestrectomy was all that was needed for healing the patient.

 Keywords:flowerpot sequestrum, osteomyelitis, sequestrectomy.


How to Cite This Article:Sharma R. Flowerpot sequestrum of the Humerus–Neglect for 10 years!! Journal of Orthopaedic Case Reports 2012 Oct – Dec ;2(4):32-34.Available from :http://www.jocr.co.in/wp/wp-content/uploads/2013/01/jocr-oct-dec-2012-10-Flowerpot-sequestrum-of-the-Humerus-Neglect-for-10-years.pdf.


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