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  • Osteomyelitis of Tibia and Fibula: History

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    Nirbhay
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    A 32-year-old male presented with pain, swelling, and discharge from his left lower leg for four months following a road traffic accident eight months prior that was treated with an external fixator. He has had continuous discharge and occasional bony chips coming from a sinus in his left leg since the accident. Examination found diffuse swelling, pus discharge from the sinus, limb length discrepancy, tenderness, warm temperature, and abnormal mobility in the middle and distal thirds of the left leg. X-rays showed osteopenia and culture of the pus grew Staphylococcus aureus and Pseudomonas. Blood tests revealed elevated white blood cell count, erythrocyte sedimentation rate, and C-re

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    A 32-year-old male presented with pain, swelling, and discharge from his left lower leg for four months following a road traffic accident eight months prior that was treated with an external fixator. He has had continuous discharge and occasional bony chips coming from a sinus in his left leg since the accident. Examination found diffuse swelling, pus discharge from the sinus, limb length discrepancy, tenderness, warm temperature, and abnormal mobility in the middle and distal thirds of the left leg. X-rays showed osteopenia and culture of the pus grew Staphylococcus aureus and Pseudomonas. Blood tests revealed elevated white blood cell count, erythrocyte sedimentation rate, and C-re

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    14 views5 pages

    Osteomyelitis of Tibia and Fibula: History

    Uploaded by

    Nirbhay
    A 32-year-old male presented with pain, swelling, and discharge from his left lower leg for four months following a road traffic accident eight months prior that was treated with an external fixator. He has had continuous discharge and occasional bony chips coming from a sinus in his left leg since the accident. Examination found diffuse swelling, pus discharge from the sinus, limb length discrepancy, tenderness, warm temperature, and abnormal mobility in the middle and distal thirds of the left leg. X-rays showed osteopenia and culture of the pus grew Staphylococcus aureus and Pseudomonas. Blood tests revealed elevated white blood cell count, erythrocyte sedimentation rate, and C-re

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    © All Rights Reserved
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    of 5

    OSTEOMYELITIS OF TIBIA AND FIBULA

    A 32 YEAR MALR PRESENTED WITH


    C/O : PAIN , SWELLING AND DISCHARGE FROM LEFT LOWER LEG SINCE 4 MONTHS

    HISTORY :
    A/H/O : RTA 8 MONTHS BACK , TREATED BY EXTERNAL FIXATOR AND GIVEN POP SLAB
    FROM THEN PT. HAVING CONTINUOUS DISCHARGE AND OCCASIONAL BONY CHIPS
    COMING OUT OF SINUS

    O/E:

    INSPECTION :
    DIFFUSE SWELLING LEFT LEG : PRESENT
    PUS DISCHARGE COMING OUT OF SINUS
    LIMB LENGTH DISCREPANCY : PRESENT

    PALPATION :
    TENDERNESS : PRESENT
    TEMPERATURE : WARM
    SINUS FIXED TO UNDERLYING BONE
    ABNORMAL MOBILITY PRESENT AT LEFT LEG MIDDLE 1/3RD AND DISTAL 1/3RD
    JUNCTION
    NO DISTAL NEUROVASCULAR DEFICIT

    MOVEMENTS :
    KNEE : FLEXION : 0 TO 70 DEGREE
    EXTENSION : O DEGREE

    ANKLE : DORSIFLEXION : 10 DEGREE


    PLANTAR FLEXION : 10 DEGREE

    MEASUREMENTS :
    2 CM DECREASED IN GIRTH OF LEFT LEG

    INVESTIGATIONS :
    XRAY LEFT LEG : OSTEOPENIA
    PUS C/S : STAPH. AUREUS AND PSEUDOMONAS
    WBC COUNT , ESR , CRP : RAISED

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