Chronic osteomyelitis of the distal humerus

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Chronic draining wound from the elbow.

Patient Data

Age: 30 years
Gender: Male

Sclerosis, cortical thickening, and irregularity of the distal humeral diaphysis and metadiaphysis. Defect along the lateral distal metadiaphyseal cortex with thickened bone surrounding a tubular bone fragment (sequestrum). The location of the defect corresponds to a soft tissue defect reflecting the sinus tract extending to the skin surface laterally. 

Case Discussion

Typical findings of chronic osteomyelitis with a sequestrum and sinus tract extending to the skin surface. 

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