Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature
Infectious complications of closed reduction and percutaneous pinning of supracondylar humerus fractures are exceedingly rare. Although postoperative Pseudomonas infection is a feared complication associated with noncompliance and a wet cast, there are no reports in the literature of this occurring....
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/8721835 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832564007042547712 |
|---|---|
| author | Adam M. Wegner John C. Wuellner Brian M. Haus |
| author_facet | Adam M. Wegner John C. Wuellner Brian M. Haus |
| author_sort | Adam M. Wegner |
| collection | DOAJ |
| description | Infectious complications of closed reduction and percutaneous pinning of supracondylar humerus fractures are exceedingly rare. Although postoperative Pseudomonas infection is a feared complication associated with noncompliance and a wet cast, there are no reports in the literature of this occurring. We present the devastating complication of a pediatric patient who developed Pseudomonas aeruginosa subperiosteal abscess, osteomyelitis, and elbow septic arthritis after presenting to the clinic multiple times with a wet cast after closed reduction and percutaneous pinning of a supracondylar humerus fracture. We describe the treatment course for this patient, followed by the sequelae of posterolateral rotary instability. This case not only confirms that patients can get Pseudomonas infections if they get their cast wet but also stresses the importance of patient communication and compliance in preventing unfortunate complications. |
| format | Article |
| id | doaj-art-b12f537a196e4e52ad38c27e7d586b6a |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-b12f537a196e4e52ad38c27e7d586b6a2025-02-03T01:12:05ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/87218358721835Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the LiteratureAdam M. Wegner0John C. Wuellner1Brian M. Haus2University of California Davis Medical Center, Sacramento, CA, USAUniversity of California Davis Medical Center, Sacramento, CA, USAUniversity of California Davis Medical Center, Sacramento, CA, USAInfectious complications of closed reduction and percutaneous pinning of supracondylar humerus fractures are exceedingly rare. Although postoperative Pseudomonas infection is a feared complication associated with noncompliance and a wet cast, there are no reports in the literature of this occurring. We present the devastating complication of a pediatric patient who developed Pseudomonas aeruginosa subperiosteal abscess, osteomyelitis, and elbow septic arthritis after presenting to the clinic multiple times with a wet cast after closed reduction and percutaneous pinning of a supracondylar humerus fracture. We describe the treatment course for this patient, followed by the sequelae of posterolateral rotary instability. This case not only confirms that patients can get Pseudomonas infections if they get their cast wet but also stresses the importance of patient communication and compliance in preventing unfortunate complications.http://dx.doi.org/10.1155/2017/8721835 |
| spellingShingle | Adam M. Wegner John C. Wuellner Brian M. Haus Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature Case Reports in Orthopedics |
| title | Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature |
| title_full | Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature |
| title_fullStr | Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature |
| title_full_unstemmed | Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature |
| title_short | Pseudomonas aeruginosa Septic Arthritis and Osteomyelitis after Closed Reduction and Percutaneous Pinning of a Supracondylar Humerus Fracture: A Case Report and Review of the Literature |
| title_sort | pseudomonas aeruginosa septic arthritis and osteomyelitis after closed reduction and percutaneous pinning of a supracondylar humerus fracture a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2017/8721835 |
| work_keys_str_mv | AT adammwegner pseudomonasaeruginosasepticarthritisandosteomyelitisafterclosedreductionandpercutaneouspinningofasupracondylarhumerusfractureacasereportandreviewoftheliterature AT johncwuellner pseudomonasaeruginosasepticarthritisandosteomyelitisafterclosedreductionandpercutaneouspinningofasupracondylarhumerusfractureacasereportandreviewoftheliterature AT brianmhaus pseudomonasaeruginosasepticarthritisandosteomyelitisafterclosedreductionandpercutaneouspinningofasupracondylarhumerusfractureacasereportandreviewoftheliterature |