From the Department of Bone and Joint Surgery, Liuzhou Municipal Liutie Central Hospital, Liuzhou, Guangxi, China.
J Am Acad Orthop Surg Glob Res Rev. 2022 Jul 15;6(7). doi: 10.5435/JAAOSGlobal-D-21-00235. eCollection 2022 Jul 1.
Early bone infarction was rarely reported, and additional research is needed for diagnosis and treatment. This article aims to report the diagnosis and treatment process of a patient with unexplained early bone infarction with soft-tissue abscess and a review of related literature. A 52-year-old male patient with early bone infarction of unknown etiology and soft-tissue abscess was analyzed retrospectively. He sustained right thigh swelling and pain for 5 days and hip and knee joint dysfunction, accompanied by fever, temperature 38°C, no limb numbness, sensory disturbance, and other discomfort. On MR images, early bone infarction with local soft-tissue abscess was found. After incision and drainage of soft-tissue abscess, wound débridement, and suture, the swelling and pain of the affected limb dysfunction gradually recovered. Early bone infarction of unknown etiology with soft-tissue abscess has a low incidence. MRI is the main imaging diagnostic method. Conservative treatment is the main guard against malignant changes and surgical treatment, if necessary.
早期骨梗死很少报道,需要进一步研究其诊断和治疗方法。本文旨在报告一例不明原因的早期骨梗死伴软组织脓肿患者的诊断和治疗过程,并复习相关文献。回顾性分析 1 例原因不明的早期骨梗死伴软组织脓肿的 52 岁男性患者,患者右大腿肿胀疼痛 5 天,伴髋膝关节功能障碍,伴有发热,体温 38°C,无肢体麻木、感觉障碍等不适。MR 图像显示早期骨梗死伴局部软组织脓肿。行软组织脓肿切开引流、创面清创缝合后,患肢肿胀疼痛、功能障碍逐渐恢复。不明原因的早期骨梗死伴软组织脓肿发病率低,MRI 是主要的影像学诊断方法,保守治疗主要是为了预防恶变,必要时行手术治疗。