Polymicrobic septic arthritis caused by Kingella kingae and enterococcus.
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Biomedical subjects
Publications and source records attributed to C D Riddle.
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The case of a patient with pelvic osteomyelitis in association with Crohn's disease is presented. A review of the literature is discussed. The location most frequently affected is the right ileum, but other sites may be involved. The osteomyelitis usually develops as a result of direct extention of internal fistulae, with enteric flora being the infecting organisms. The importance of resecting the diseased segment of bowel is discussed. Many patients do not require bony resection. The possibility of pelvic osteomyelitis must be considered in patients with Crohn's disease who present with suggestive symptoms and radiographic evidence of osteomyelitis. Patients who initially present with pelvic osteomyelitis should be suspected of having intraabdominal pathology.
A retrospective study was made of 203 patients with 321 congenital clubfoot deformities who had at least one operative procedure at the Shriner's Hospital in Greenville, South Carolina, in a period from 1944 to 1973. The five cases of avascular necrosis of the talus occurred among the 35 patients having combined medial and lateral releases. These five clubfeet were recurrent and recalcitrant and required extensive soft tissue release to achieve sustained correction. It is recommended that dissection of the subtalar joint, except at the talonavicular joint, be avoided and that extensive lateral ankle dissection, especially when the sinus tarsi is included, should not be performed simultaneously with the medial release unless absolutely necessary to achieve the desired anatomic relationship.