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Chronic Recurrent Multifocal Osteomyelitis: A Diagnostic Dilemma

A Case Report and Review of the Literature

Mallick, A., MBBS, FRCS, FRCS(T&O)1,a; Chaturvedi, A., MD, MRCS1; Muthukumar, N., MBBS, FRCS, FRCS(T&O)1

doi: 10.2106/JBJS.CC.15.00119
Case Reports

Case: Chronic recurrent multifocal osteomyelitis, a misnomer in itself, is a rare disorder that presents infrequently to orthopaedic units. The differential diagnosis is wide, including neoplastic lesions and infection, which may lead to unnecessary interventional and surgical procedures. We present a case that exhibited the hallmark features of this condition—recurrent, multifocal, aseptic osteitis in a 9-year-old girl—and our rationalized management including imaging, nonsteroidal anti-inflammatory drugs, and bisphosphonates.

Conclusion: With increased awareness by orthopaedic surgeons, patients may be diagnosed and managed appropriately, enabling a benign course and limiting morbidity.

1Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom

aE-mail address for A. Mallick:

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
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