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The natural history of the neglected felon.

patients have a history of preceding penetrating trauma. Treatment involves incision and drainage combined with antimicrobial therapy. The neglected or untreated felon is extremely rare and only anecdotally mentioned in the literature1~3. Recognized complications include skin slough, osteomyelitis, septic arthritis and flexor tenosynovitis, although the latter is extremely rare. We describe a case of a neglected felon that has al of these features in addition to the previously unreported 'triad' of osteomyelitis, secondary suppurative tenosynovitis and flexor pollicis longus tendon rupture.