Neurovascular Injury
Radial Nerve Palsy. The radial nerve is the most commonly damaged nerve after fractures of the distal shaft of the humerus. Normally protected in the spiral groove of the humeral…
Adult Respiratory Distress Syndrome
Marrow emboli have been identified in the lungs of patients, leading to the term fat embolism syndrome, but ARDS may also develop in the absence of fracture marrow emboli. Studies…
Delayed Posttraumatic Osteomyelitis in Diabetic Patient
The goal of treatment is to eliminate the draining sinuses and produce a functional limb that is free from pain. The complicated process just described to eradicate a focus of…
Recurrent Postoperative Osteomyelitis
Treatment of chronic osteomyelitis requires removal of all infected, necrotic bone and all metal foreign bodies; debridement of all necrotic soft tissue; and marsupialization of the necrotic, infected bed. Stability…
Direct (Nonhematogenous) Causes of Osteomyelitis (Continued)
ETIOLOGY OF EXOGENOUS OSTEOMYELITIS Exogenous (nonhematogenous) osteomyelitis results from the direct contamination of the bone by the infecting organism. The skin, subcutaneous tissue, and periosteum provide a protective barrier to…
Osteomyelitis after Open Fracture
Although the many exogenous causes of osteomyelitis vary greatly, the resulting bone infections share some common characteristics. The bone becomes infected because the protective skin and periosteal barriers have been…
Direct (Nonhematogenous) Causes of Osteomyelitis
Radiographs of the painful area should be obtained, although radiographic signs are often minimal early in the infection. The earliest radiographic evidence of acute hematogenous osteomyelitis is swelling of soft…
Etiology and Prevalence of Hematogenous Osteomyelitis
ETIOLOGY AND PREVALENCE OF HEMATOGENOUS OSTEOMYELITIS In contrast to direct contamination of the bone from exogenous sources, hematogenous osteomyelitis results when the bone is seeded with bacteria from a distant…
Clinical Manifestations of Hematogenous Osteomyelitis
Clinical manifestations of acute hematogenous osteomyelitis of the spine are more difficult to define. The patient may complain of a vague backache as well as generalized malaise, decreased appetite, and…
