Garre's Sclerosing Chronic Osteomyelitis of Femur in an Adolescent.
Sclerosing osteomyelitis
garre’s
non-suppurative osteomyelitis
Journal
Journal of orthopaedic case reports
ISSN: 2250-0685
Titre abrégé: J Orthop Case Rep
Pays: India
ID NLM: 101641392
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
30
06
2021
revised:
12
09
2021
entrez:
13
4
2022
pubmed:
14
4
2022
medline:
14
4
2022
Statut:
ppublish
Résumé
Garre's sclerosing osteomyelitis (GSO) is a rare chronic inflammatory disease resulting in thickening of cortices with loss of medullary canal without any signs of active infection. A 13-year-old boy presented in 2017 with the right thigh pain of 3 years duration, who had exhausted all conservative attempts. We operated the patient with intramedullary reaming with antibiotic-impregnated cement augmented Kuntscher nail, which got jammed. The nail was subsequently removed and left-over cement pieces required an extended trochanteric osteotomy with aggressive curettage. The intra-operative culture was negative at all times, but histopathology suggested chronic inflammation. The patient had complete relief of symptoms at 2 years follow-up with all acute phase reactants reaching baseline and no further periosteal deposition. A follow-up magnetic resonance imaging was not possible due to stainless steel implants in situ. GSO is a confusing diagnosis that must exclude other mimickers and may recur even after surgical debridement.
Identifiants
pubmed: 35415131
doi: 10.13107/jocr.2021.v11.i12.2546
pii: JOCR-11-15
pmc: PMC8930378
doi:
Types de publication
Case Reports
Langues
eng
Pagination
15-18Informations de copyright
Copyright: © Indian Orthopaedic Research Group.
Déclaration de conflit d'intérêts
Conflict of Interest: Nil
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