Osteomyelitis: temporal change including sequestrectomy

Discussion:

This is a typical case of osteomyelitis with the initial radiographs normal, progressing to chronic changes with a sequestrum and involucrum. 

Sequestrum is dead bone that has become separated during the process of necrosis from normal bone. This is especially seen distally. Involucrum is a covering or sheath, and contains the sequestrum of a necrosed bone.

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