This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

NEIL E. GREEN, MD
Department of Orthopedic Surgery and Pediatrics Vanderbilt University Nashville, TN 37232

Am J Dis Child. 1983;137(6):605.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—I would like to comment on the article "Osteomyelitis as a Cause of Brachial Plexus Neuropathy" by Dr Clay (JOURNAL 1982;136:1054-1056). Dr Clay reported two cases of "osteomyelitis" as a cause of brachial plexus neuropathy.

On reviewing her case reports, it is obvious that neither of these infants had a true osteomyelitis, but both apparently had septic arthritis of the shoulder. I think the distinction is very important and very clear. I realize that her main interest in publishing this article was to point up the fact that infections about the shoulder may cause a brachial plexus neuropathy; nevertheless, I think it is important not to lose sight of the correct diagnosis.

In addition, I believe that surgical drainage of both of these patients' shoulders possibly could have prevented the bone destruction that was seen in the follow-up examination. The bone destruction is obviously, therefore, secondary to the joint . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?