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Eur J Pediatr Surg 1992; 2(2): 122-124
DOI: 10.1055/s-2008-1063419
Case report

© Georg Thieme Verlag KG Stuttgart · New York

Osteomyelitis of the Femoral Neck Caused by a Pencil Stab Wound

G.  Volpin1 , U.  Kleinhaus2 , M.  Berant3 , V.  Bialik4
  • 1Department of Orthopedic Surgery, Rambam Medical Center and the Technion Faculty of Medicine, Bat Galim, Haifa, Israel
  • 2Department of Radiology, Rambam Medical Center and the Technion Faculty of Medicine, Bat Galim, Haifa, Israel
  • 3Department of Pediatrics , Rambam Medical Center and the Technion Faculty of Medicine, Bat Galim, Haifa, Israel
  • 4Department of Pediatric Orthopedic Unit, Rambam Medical Center and the Technion Faculty of Medicine, Bat Galim, Haifa, Israel
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Publication History

Publication Date:
25 March 2008 (online)

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Abstract

A unique case of osteomyelitis of the femoral neck of an eleven-year-old boy, following a stab wound by a lead pencil, with reactive synovitis of the hip joint is presented. The clinical course simulated that of acute septic arthritis and was diagnosed by various imaging modalities. Following operation and systemic antibiotic treatment, the patient improved dramatically. The role of sonography in the presence of inflammatory conditions around the hip joint is emphasized.

Zusammenfassung

Es wird ein 11 jähriger Knabe vorgestellt, bei dem es infolge einer Bleistiftstichverletzung zu einer Osteomyelitis des Schenkelhalses gekommen war, einschließlich einer reaktiven Synovitis. Die Therapie bestand - nach erheblichen diagnostischen Schwierigkeiten - in einer operativen Sanierung.

Key words

Femur - Imaging modalities - Osteomyelitis

Schlüsselwörter

Osteomyelitis - Osteomyelitis, exogen, Fremdkörper - Schenkelhals