Staged Reconstruction for Humeral Osteomyelitis after Severe Crush Injury of the Shoulder: A Case Report

R Y Kow; N Mohd-Yusof; M F Abas; C L Low

doi:10.5704/MOJ.2207.020

Staged Reconstruction for Humeral Osteomyelitis after Severe Crush Injury of the Shoulder: A Case Report

Malays Orthop J. 2022 Jul;16(2):140-144. doi: 10.5704/MOJ.2207.020.

Authors

R Y Kow¹, N Mohd-Yusof¹, M F Abas², C L Low³

Affiliations

¹ Department of Orthopaedics, Traumatology and Rehabilitation, International Islamic University Malaysia, Kuantan, Malaysia.
² Department of Plastic Surgery, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia.
³ Department of Radiology, International Islamic University Malaysia, Kuantan, Malaysia.

Abstract

The incidence of humeral osteomyelitis is relatively rare as compared to incidence of lower limb osteomyelitis. Despite having no guideline in the management of humeral osteomyelitis, surgeons have utilised their experience in managing lower limb osteomyelitis to treat humeral osteomyelitis. By adhering to principles including thorough debridement of necrotic bone and soft tissue, staged bony and/or soft tissue reconstruction, and targeted antimicrobial therapy, a good outcome can be achieved in the management of humeral osteomyelitis. We report a case of Cierny-Mader type IV proximal humeral osteomyelitis after a severe crush injury of the left shoulder and its subsequent two-stage reconstruction using internal fixation and pedicled Latissimus dorsi musculocutaneous flap.

Keywords: crush injury; humerus; osteomyelitis; reconstruction; upper limb.

Publication types

Case Reports