Spontaneous Pan-Carpal Metacarpal Fusion after a Case of Pediatric Septic Arthritis of the Wrist: A Case Report

Nata Parnes, Clare K. Green*, John P. Scanaliato, Joshua Caruso, John C. Dunn

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Case:A 46-year-old female patient with a history of Streptococcus pyogenes septic arthritis 32 years earlier presented to an outpatient clinic with complaints of chronic wrist pain and stiffness. Imaging revealed complete pan-carpal metacarpal fusion with advanced radiocarpal arthritis. The patient's pain improved with 3 months of nonoperative management, and she was able to return to previous levels of activity.Conclusions:Pediatric septic arthritis of the wrist is an exceedingly rare diagnosis but may result in spontaneous complete pan-carpal metacarpal fusion.

Original languageEnglish
Article numbere22.00066
JournalJBJS Case Connector
Volume12
Issue number2
DOIs
StatePublished - 6 Apr 2022
Externally publishedYes

Keywords

  • metacarpal fusion
  • pediatric septic arthritis
  • radiocarpal arthritis
  • septic arthritis of the wrist

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