Osteomyelitis of the Thumb in a 21-Year-Old Chiropractic Patient: A Case Report

Overview

Journal J Chiropr Med

Date 2018 Sep 20

PMID 30228812

Authors

Richard E Bechert

Gary M Guebert

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this case report is to describe the presentation of a patient with osteomyelitis of the thumb.

Clinical Features: A 21-year-old man presented with painful, red, and edematous thumb pain over the anterior and posterior surface for a duration of 4 days. The patient reported no trauma or recent operation. The patient was treated conservatively for capsulitis. The patient's symptoms worsened within 2 days, and he was referred for additional imaging consisting of a bone scan. The bone scan showed increased uptake, resulting in a change of diagnosis to suspected osteomyelitis. The patient was referred to a medical doctor for care that consisted of antibiotics and physiotherapy.

Intervention And Outcome: Despite treatment, the patient had some mild permanent damage to the range of motion of the joint and soft tissue volume loss.

Conclusion: This case demonstrates the importance of considering osteomyelitis as a differential diagnosis. Amputation was avoided for this patient because of the early recognition and referral.

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