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Indian Journal of Orthopaedics Surgery


Circumferential Osteo-Myelitis of the both Forearm Bone, Caused by Wrist Band: A Rare Cause


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Author Details: SPS Gill, Manish Raj, Dinesh Kumar, Jasveer Singh

Volume : 1

Issue : 3

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 186

Article End Page : 193


Abstract

Introduction: Foreign body injuries with wood, metal, plastic or a piece of glass are common in children. If neglected or poorly managed, some of these injuries results in cellulitis or osteomyelitis of the affected structures. This is the rare report of both bone forearm osteomyelitis following neglected rubber band wrapped around the distal forearm in a child.

Case Report: A 6 year old male patient presented with pain and swelling with discharging sinus in left distal forearm. The diagnosis of both bone forearm osteomyelitis is confirmed with plain radio-graphs. During curettage surgery, incidentally rubber band was found in the subcutaneous tissue wrapped around distal forearm. Patient was treated with complete removal of foreign body (Rubber band), surgical debridement and combination of IV and oral antibiotic for period of 6 weeks. At 12 months follow up, patient presents with no recurrence of sign and symptoms of osteomyelitis and lesion healing satisfactorily.
Conclusion: The neglected foreign body can result in osteomyelitis of both bones of distal forearm in a child. Early diagnosis with adequate management of established osteomyelitis by complete removal of foreign body, curettage and antibiotics can give good results.

Keywords: Osteomyelitis; Both bones forearm; Rubber band; Paediatric