ArticleJournal of chiropractic medicine2018
Osteomyelitis of the Thumb in a 21-Year-Old Chiropractic Patient: A Case Report.
Article in Journal of chiropractic medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe 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.
conclusionThis 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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