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An ultrasound scan is generally thought to have less value in osteomyelitis diagnosis due to its inability to interrogate bone. However, this investigation can be helpful in detecting the site and size of soft tissue collections secondary to osteomyelitis and the presence of any associated foreign bodies. We present a case where an ultrasound scan played a key role in supporting the diagnosis of osteomyelitis of the thumb in a dog groomer. This is the first reported case of hair implantation osteomyelitis presenting without a cutaneous sinus.<\/jats:p>","DOI":"10.1136\/bcr-2022-250596","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T09:40:17Z","timestamp":1661938817000},"page":"e250596","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unusual ultrasound diagnosis of hair implantation osteomyelitis of the thumb"],"prefix":"10.1136","volume":"15","author":[{"given":"Chie","family":"Katsura","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, Hull University Teaching Hospitals NHS Trust, Hull, Kingston upon Hull, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7717-3426","authenticated-orcid":false,"given":"Cher Bing","family":"Chuo","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hull University Teaching Hospitals 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