Neglected Foreign Body, the Cause of Navicular Osteomyelitis in A Paediatric Foot: A Case Report

 
What to Learn from this Article?

1.Foreign bodies can get infected and cause osteomyelitis even after considerable duration after primary trauma

2.Ultrasound can be used effectively to diagnose radiopaque foreign bodies in cases of osteomyelitis


Case Report |  Volume 3 | Issue 3 | JOCR July-Sep 2013 | Page 26-29 | Chandrashekara CM, George MA, Bader SK.


Authors: Chandrashekara CM[1], George MA[1], Bader SK[1].

[1]Department of Orthopedic Surgery. Al-Buraimi Hospital. Sultanate of Oman.

Address of Correspondence:

Chandrashekara C.M: Department of Orthopedic Surgery. Al-Buraimi Hospital. Sultanate of Oman. E-mail- drshekar76@rediffmail.com


Abstract

Introduction: Foreign body injuries with date thorns, metal and wooden splinters are common in Middle East region, as most of it is desert. Some of the injuries lead to cellulitis or abscess formation, if neglected or improperly managed results in osteomyelitis or septic arthritis of foot structures. This is the first report of isolated navicular osteomyelitis following neglected foreign body in a paediatric foot.

Case Report: A 10 year old male patient presented with discharging sinus in left mid-foot 3 years after penetrating injury with wooden splinter. The diagnosis of navicular osteomelitis is confirmed with plain radio-graphs. The ultrasound of foot was done to localize the foreign bodies. Patient was treated with complete removal of foreign body (wooden splinters), surgical debridement and combination of IV and oral cloxacillin for period of 6 weeks. At 18 months follow up, patient had painless foot with no recurrence or collapse of navicular bone.

Conclusion: The neglected foreign body can result in osteomyelitis of small bones of foot in pediatric patient. The ultrasound is more useful tool in localizing foreign bodies; those are not radio-opaque. Early and prompt diagnosis with adequate treatment of established osteomyelitis by complete removal of foreign body, curettage and antibiotics can give good results.

Keywords: Osteomyelitis; Navicular bone; Foreign body; Paediatric.


 

How to Cite This Article: Chandrashekara CM, George MA, Bader SK. Neglected Foreign Body, the Cause of Navicular Osteomyelitis in A Paediatric Foot: A Case Report. Journal of Orthopaedic Case Reports 2013 July-Sep ;3(3):26-29. Available from: http://www.jocr.co.in/wp/2013/04/13/2250-0685-111-fulltext/


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