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| |a1=Infective (septic) osteomyelitis of the fourth metacarpal bone secondary to a contaminated, open fracture of this structure. <br><br> | | |a1=Infective (septic) osteomyelitis of the fourth metacarpal bone secondary to a contaminated, open fracture of this structure. <br><br> |
| At this stage, radiography would reveal irregular radiolucent areas surrounding the fracture associated with florid periosteal new bone formation. (A foreign body is a less likely possibility.) | | At this stage, radiography would reveal irregular radiolucent areas surrounding the fracture associated with florid periosteal new bone formation. (A foreign body is a less likely possibility.) |
− | |l1=Fractures | + | |l1=Osteomyelitis |
| |q2=How would you treat this case? | | |q2=How would you treat this case? |
| |a2= | | |a2= |
| Surgical excision of the infected portion of bone in combination with a course of systemic antibiotics, ideally selected on the basis of the sensitivity of organisms cultured from the depths of the wound. | | Surgical excision of the infected portion of bone in combination with a course of systemic antibiotics, ideally selected on the basis of the sensitivity of organisms cultured from the depths of the wound. |
− | |l2=Bacteriology Sample Collection | + | |l2=Osteomyelitis#Treatment |
| |q3=With the benefit of hindsight, could the case have been managed more effectively? | | |q3=With the benefit of hindsight, could the case have been managed more effectively? |
| |a3= Yes. Radiographic examination of the region at the time of injury would have revealed damage to the fourth metacarpal bone and the risk of infective osteomyelitis could have been anticipated. <br><br> | | |a3= Yes. Radiographic examination of the region at the time of injury would have revealed damage to the fourth metacarpal bone and the risk of infective osteomyelitis could have been anticipated. <br><br> |
| Debridement and lavage of the wound with the horse standing, under sedation, and a course of systemic, broad-spectrum antibiotics may have prevented infection becoming established within the bone. | | Debridement and lavage of the wound with the horse standing, under sedation, and a course of systemic, broad-spectrum antibiotics may have prevented infection becoming established within the bone. |
− | |l3=Osteomyelitis | + | |l3= Osteomyelitis |
− | | |
| </FlashCard> | | </FlashCard> |
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