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创伤后骰骨布罗迪脓肿:一例报告并文献复习

Post-traumatic Brodie's Abscess of the Tarsal Cuboid: A Case Report and Review of the Literature.

作者信息

Tzellios Ioannis K, Gelalis Dimitrios I, Gkiatas Ioannis, Pakos Emilios Ε, Gelalis Ioannis D

机构信息

Department of Orthopaedic Surgery and Traumatology, University Hospital of Ioannina, Ioannina, GRC.

出版信息

Cureus. 2024 Jan 29;16(1):e53158. doi: 10.7759/cureus.53158. eCollection 2024 Jan.

Abstract

Brodie's abscess of the tarsal cuboid is a relatively rare presentation of this disease. In this study, we present the case of a 20-year-old male with post-traumatic Brodie's abscess of the tarsal cuboid that was left untreated for three years after the traumatic episode (penetrating injury with a sharp piece of wood). The patient presented pain over the injured area, limping, while plain foot radiographs showed a small lytic cavitary area in the cuboid. The magnetic resonance imaging revealed the presence of the abscess in a 2-cm diameter cavity in the cuboid bone and chronic inflammation of the surrounding plantar musculature. The treatment regime included curettage of the cavity, debridement of the inflammatory tissues, and administration of antibiotics, according to the cultures harvested intraoperatively, for six weeks. During this period, symptoms completely resolved.

摘要

跗骨骰骨的布罗迪脓肿是这种疾病相对罕见的表现形式。在本研究中,我们报告了一例20岁男性患者,其因创伤后跗骨骰骨布罗迪脓肿在创伤事件(被一块尖锐木头穿透伤)发生三年后未接受治疗。患者受伤部位疼痛、跛行,足部X线平片显示骰骨有一个小的溶骨性空洞区域。磁共振成像显示在骰骨内一个直径2厘米的腔内存在脓肿以及周围足底肌肉组织的慢性炎症。治疗方案包括对腔进行刮除、对炎性组织进行清创,并根据术中采集的培养物给予抗生素治疗六周。在此期间,症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac81/10901192/feaa6b16551d/cureus-0016-00000053158-i01.jpg

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