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Osteomyelitis variolosa: a report of two cases
1Department of Orthopaedics, University College of Medical Sciences, Shahdara, Delhi, India.
Journal of Orthopaedic Surgery (Hong Kong)
|January 8, 2009
Summary
Osteomyelitis variolosa, a rare complication of smallpox, can cause significant elbow joint damage and instability. Surgical intervention, including bone grafting, can restore function in affected patients.
Area of Science:
- Orthopedics
- Infectious Diseases
- Pediatric Orthopedics
Background:
- Osteomyelitis variolosa is a rare skeletal complication following smallpox infection.
- It can lead to severe joint destruction and functional impairment.
Observation:
- Two patients presented with bilateral elbow joint involvement due to osteomyelitis variolosa.
- Radiographic findings included elongated condyles and absorbed distal humeri, resulting in elbow instability.
- One patient experienced a distal humerus fracture, treated surgically.
Findings:
- The fracture in one patient united successfully after stabilization and bone grafting.
- The patient demonstrated satisfactory elbow function at a 13-year follow-up.
Implications:
- This case highlights the potential for functional recovery in severe osteomyelitis variolosa sequelae.
- Effective management strategies, including surgical reconstruction, are crucial for improving outcomes.
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