Sternal Osteomyelitis and Abscess Caused by Elbowing during a Basketball Game

A 15-year-old boy was referred to our hospital for further investigation and treatment of sternal osteomyelitis due to blunt chest trauma, more specifically elbowing during a basketball game 19 days earlier. On an initial presentation, his chest was markedly swollen and chest computed tomography dem...

Full description

Saved in:
Bibliographic Details
Main Authors: Hideo Ichimura, Yuichiro Ozawa, Tetsuya Sato, Kanji Matsuzaki, Yuichi Yoshii, Seiji Shiotani
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/298187
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 15-year-old boy was referred to our hospital for further investigation and treatment of sternal osteomyelitis due to blunt chest trauma, more specifically elbowing during a basketball game 19 days earlier. On an initial presentation, his chest was markedly swollen and chest computed tomography demonstrated a sternal fracture and massive fluid collection in the chest wall. Since his general condition remained fairly good, we initially selected minimal drainage concomitant with antibiotics; if it was unsuccessful, we planned to switch to a more radical debridement procedure. The patient recovered without further invasive intervention and was discharged on postoperative day 26. There is no sign of recurrence six months after operation. This case report indicates that minimal drainage would be a good option for treatment in a phased strategy.
ISSN:1687-9627
1687-9635