Spontaneous Pan-Carpal Metacarpal Fusion After a Case of Pediatric Septic Arthritis of the Wrist: A Case Report.

CASE: A 46-year-old female patient with a history of Streptococcus pyogenes septic arthritis 32 years earlier presented to an outpatient clinic with complaints of chronic wrist pain and stiffness. Imaging revealed complete pan-carpal metacarpal fusion with advanced radiocarpal arthritis. The patient's pain improved with 3 months of nonoperative management, and she was able to return to previous levels of activity.

CONCLUSIONS

Pediatric septic arthritis of the wrist is an exceedingly rare diagnosis but may result in spontaneous complete pan-carpal metacarpal fusion.