PMC5742016_01
A clinical photograph illustrating the sinus on the postero-lateral aspect of the patient's thigh.
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At presentation, the patient was afebrile with no constitutional symptoms and with chronic sinus discharge at the posterior aspect of his left thigh (Fig. 1).
Antero-posterior X-ray view of the left femur, showing mid shaft periosteal thickening & small area of lucency in cortex may suggest osteomyelitis.
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Left femur radiographs and MRI showed features of chronic osteomyelitis with sinus tract communicating with skin at the posterior thigh type II-A according to Cierny-Mader classification of osteomyelitis (superficial osteomyelitis in a normal host) (Fig. 2, Fig. 3, Fig. 4).
MRI T1 with intravenous contrast, showing femur osteomyelitis and sinus tract communicating with the posterior aspect of the femur.
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Left femur radiographs and MRI showed features of chronic osteomyelitis with sinus tract communicating with skin at the posterior thigh type II-A according to Cierny-Mader classification of osteomyelitis (superficial osteomyelitis in a normal host) (Fig. 2, Fig. 3, Fig. 4).
Intra-operative sonogram, showing contrast communicating with the posterior aspect of femur.
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Sinogram showed two sinus tracts, one is superior and another one is inferior, with no contrast connected to the intramedullary cavity of the femur (Fig. 5).