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AJR 2001; 176:387-391
© American Roentgen Ray Society

Original Report

Osteomyelitis Originating In and Around Bone Infarcts

Giant Sequestrum Phenomena

Marcia F. Blacksin1, Kathleen C. Finzel2 and Joseph Benevenia3

1 Department of Radiology, University of Medicine and Dentistry of New Jersey, University Hospital, Rm. C320, 150 Bergen St., Newark, NJ 07103-2426.
2 Department of Radiology, SUNY Stony Brook, L-4 Health Sciences Center, Stony Brook, NY 11794-2906.
3 Department of Orthopedic Surgery, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103-2426.

OBJECTIVE. We describe four cases of osteomyelitis that occurred in and around foci of preexisting osteonecrosis in the medullary cavity. Although sequestration is a well-known complication of osteomyelitis, there is little information known about infection occurring in proximity to large regions of already necrotic bone.

CONCLUSION. Osteomyelitis and bone infarction can be seen in the same patient population. Medullary infarcts may function as sequestra, predisposing patients to osteomyelitis and soft-tissue infection.


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