대한근골격영상의학회

Title : Case 752

Age / Sex : 25 / M Chief complaint : 트럭 운전 중 도로 중앙 가드레일에 부딪쳐 수상하고, 몇차례 수술받음. What is your diagnosis? Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer). Courtesy : 이지영 (Lee Jee Young), 단국대병원(Dankoon University Hospital) Diagnosis: Prosthetic or periprosthetic infection Discussion Disease definition Prosthetic or periprosthetic infection (정강이 내측에 pin-point skin wound로 pus discharge 있었고, 다음날 implant 제거 술 도중 얻은 *검체에서* *Pseudomonas. Aeruginosa* 배양됨) Findings 1.periprosthetic radiolucency around screws (red arrow) 2.Segmental defect in the adjacent cortical bone and solid periosteal reaction at the site of that screws (white arrows) 3.Progressive radiographic periprosthetic loosening on serial studies suggested prosthetic infections.

Title : Case 752

Age / Sex : 25 / M

Chief complaint :
트럭 운전 중
도로 중앙 가드레일에 부딪쳐 수상하고, 몇차례 수술받음.

What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer).

Courtesy : 이지영 (Lee Jee Young), 단국대병원(Dankoon University Hospital)

Diagnosis:

Prosthetic or periprosthetic infection

Disease definition

Prosthetic or periprosthetic infection

(정강이 내측에 pin-point skin wound로 pus discharge 있었고, 다음날 implant 제거 술 도중 얻은 검체에서 Pseudomonas. Aeruginosa 배양됨)

Findings

1.periprosthetic radiolucency around screws (red arrow)

2.Segmental defect in the adjacent cortical bone and solid periosteal reaction at the site of that screws (white arrows)

3.Progressive radiographic periprosthetic loosening on serial studies suggested prosthetic infections.