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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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A Swelling over Sternum in a Child: Reminder of an Uncommon Diagnosis

Pradnya Joshi1, Sandeep B Bavdekar1, Sushma U Save1

  • 1Department of Pediatrics, TN Medical College and BYL Nair Charitable Hospital, Mumbai, India.

Case Reports in Pediatrics
|November 17, 2016
PubMed

Insights

Isolated sternal osteomyelitis due to tuberculosis is rare, leading to diagnostic delays. Early diagnosis and treatment with antitubercular therapy (ATT) and surgery are crucial for recovery.

Area of Science:

  • Pediatric Infectious Diseases
  • Skeletal Tuberculosis
  • Diagnostic Imaging

Background:

  • Isolated osteomyelitis of the sternum is an uncommon condition.
  • Tuberculosis can affect the sternum, presenting as osteomyelitis.
  • Lack of awareness can lead to delayed diagnosis.

Purpose of the Study:

  • To highlight a case of isolated tubercular osteomyelitis of the sternum in a child.
  • To emphasize the importance of prompt diagnosis and management.
  • To review available treatment options for this condition.

Main Methods:

  • Case presentation of an eleven-year-old girl with sternal swelling.
  • Diagnostic workup included radiological, histological, and microbiological investigations.
  • Treatment involved antitubercular therapy (ATT) and surgical debridement.

Main Results:

  • Diagnosis was confirmed through comprehensive investigations.
  • The patient showed a positive response to ATT and surgical intervention.
  • Successful management of a rare presentation of skeletal tuberculosis.

Conclusions:

  • Isolated sternal osteomyelitis requires a high index of suspicion for timely diagnosis.
  • Multimodal diagnostic approaches are essential.
  • Combined medical and surgical management leads to favorable outcomes in tubercular osteomyelitis of the sternum.

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