Circumferential Osteo-Myelitis of the both Forearm Bone, Caused by Wrist Band: A Rare Cause Gill SPS1,*, Raj Manish2, Kumar Dinesh3, Singh Jasveer3 1Associate Professor, UP Rural Institute of Medical Science & Research, Uttar Pradesh 2Lecturer, UP Rural Institute of Medical Science & Research, Uttar Pradesh 3Assistant Professor, UP Rural Institute of Medical Science & Research, Uttar Pradesh *Corresponding Author: Email: simmygill@gmail.com
Online published on 27 November, 2015. Abstract Introduction Foreign body injuries with wood, metal, plastic or a piece of glass are common in children. If neglected or poorly managed, some of these injuries results in cellulitis or osteomyelitis of the affected structures. This is the rare report of both bone forearm osteomyelitis following neglected rubber band wrapped around the distal forearm in a child. Case Report A 6 year old male patient presented with pain and swelling with discharging sinus in left distal forearm. The diagnosis of both bone forearm osteomyelitis is confirmed with plain radio-graphs. During curettage surgery, incidentally rubber band was found in the subcutaneous tissue wrapped around distal forearm. Patient was treated with complete removal of foreign body (Rubber band), surgical debridement and combination of IV and oral antibiotic for period of 6 weeks. At 12 months follow up, patient presents with no recurrence of sign and symptoms of osteomyelitis and lesion healing satisfactorily. Conclusion The neglected foreign body can result in osteomyelitis of both bones of distal forearm in a child. Early diagnosis with adequate management of established osteomyelitis by complete removal of foreign body, curettage and antibiotics can give good results. Top Keywords Osteomyelitis; Both bones forearm; Rubber band; Paediatric. Top |