Male, 7 years old. Pain, wounds. Evaluate for osteomyelitis. There is a skin defect along the lateral aspect of the right forearm with a tract extending from the skin, through the soft tissues, and to the site of a fracture in the mid-distal radial diaphysis. There is extensive edema and enhancement of the soft tissues and abnormal bone marrow signal in this region, compatible with cellulitis and osteomyelitis. No evidence of discrete fluid collection, sequestrum, or involucrum.Question of nonunion of the fracture line.A metal rod traverses the length of the ulna, markedly limiting evaluation.
Osteomyelitis of the radial diaphysis associated with a tract extending from the skin to a radial fracture.