Epiphyseal Separations After Neonatal Osteomyelitis and Septic Arthritis

Aroojis, Alaric; Johari, Ashok

doi:10.1097/01241398-200007000-00023

Cited by 26 publications

(23 citation statements)

References 8 publications

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“…According to the literature, cases are considered to have delayed treatment if symptoms have manifested for more than four days [5]. It has been emphasized that joint damage can be prevented with proper surgical drainage and antibiotic treatment following timely diagnosis of acute septic arthritis [21]. In our series, the average time from the start of complaints to surgical intervention was less than four days (2.9), and we achieved good outcomes.…”

Section: Discussionmentioning

confidence: 58%

Mini open surgical treatment of knee septic arthritis with local anesthesia: a prospective preliminary report

Ceylan¹

2018

Ann Clin Anal Med

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Surgical treatment of knee septic arthritis with local anesthesiaMini open surgical treatment of knee septic arthritis with local anesthesia: a prospective preliminary report DOI: 10.4328 AbstractAim: Good pain management is provided via spinal and general anesthesia during knee joint drainage to treat septic arthritis, but the side effects are greater than those associated with local anesthesia, and the preparation process is long. Arthroscopic drainage under local anesthesia for knee septic arthritis treatment have been described, but this method requires special equipment. In this study, we aimed to evaluate the applicability of mini-open surgery under local anesthetic infiltration in cases of septic knee arthritis. Material and Method: 14 consecutive patients (eight men, six women) were admitted for knee septic arthritis treatment. Patient age ranged from 18 to 56 years, with an average age of 33 years. Drainage procedure was performed under local anesthesia, and the results were evaluated clinically. Results: The visual analog scale scores were between two and four (mean 2.8). The follow-up period was 10-21 months (mean 14.3). The Tegner and International Knee Documentation Committee scores were acceptable except for one patient. Discussion: This prospective study included mini-open surgery performed under local anesthesia on 14 septic knees, and showed that this method is safe, effective, well tolerated and be alternative to conventional techniques.

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Section: Discussionmentioning

confidence: 58%

Mini open surgical treatment of knee septic arthritis with local anesthesia: a prospective preliminary report

Ceylan¹

2018

Ann Clin Anal Med

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“…Concomitant physeal fracture and infection are very uncommon [10], and a complete separation of an epiphysis is described as a rare complication of neonatal osteomyelitis or septic arthritis [15]. The literature appears to indicate the hip joint as the most common site of epiphyseal slip as well as the most common site involved in a neonatal septic process [15].…”

Section: Discussionmentioning

confidence: 98%

Physeal separation and complete resorption of femoral head associated with chronic osteomyelitis of femoral diaphysis in a young child: rare case report

Pandey

Pawar

Gupta³

2016

Journal of Pediatric Orthopaedics B

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We report the case of a two and a half-year-old girl who presented with injury to the right thigh along with a discharging sinus in the midthigh region following a nonorthopaedic surgical procedure. Radiographs of the thigh indicated osteomyelitis of the femoral diaphysis with pathological fracture. During follow-up examination, shortening was observed in the affected limb, along with complete separation of the femoral epiphysis with partial resorption of the femoral head. A few cases of physeal separation of the femoral head following osteomyelitis of the femoral diaphysis have been reported in the published literature, but still it may go undiagnosed until late stages because of the lack of awareness among orthopaedicians about this entity. There was no history of any precipitating trauma to the hip. This case is of interest because of the difficulty in making differential diagnosis at the first evaluation; there was an orthopaedic misdiagnosis on the basis of the lack of complete preoperative imaging. Because of the devastating sequelae on immature skeleton including limb shortening, osteomyelitis, epiphyseal separation of proximal epiphysis and pathological fracture of shaft femur, the importance of early diagnosis, complete preoperative imaging and prompt treatment must be overemphasized.

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“…Septic arthritis may in time complicate with epiphyseal cartilage destruction, epiphyseal separation, and ischemia ( Fig. 12) [27,28]. Although joint effusions adjacent to acute metaphyseal HO do not necessarily represent septic arthritis, this should not stop us from analyzing these effusions [10].…”

Section: Hematogenous Osteomyelitis Of the Long Bones: Uncommon Sitesmentioning

confidence: 96%

Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach

Santos

2006

Eur Radiol

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Pediatric hematogenous osteomyelitis may present highly variable radiological expression, which is influenced by the age and condition of the patient, the virulence of the causative agent, the stage of the disease, or the selected imaging tool. Given the multiplicity of available modalities and the multi-faceted nature of the process, purposeful imaging of pediatric hematogenous osteomyelitis may be difficult. In order to avoid diagnostic delays and complications, familiarity with the variable expression of the disease and assumption of the potentialities, roles and limitations of the various imaging modalities is required. In this pictorial essay we review, illustrate and discuss, in a multi-modality approach, the various radiological patterns that may be found in pediatric hematogenous osteomyelitis, with emphasis on strategies, staging, uncommon distribution patterns, and differential diagnosis.

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Epiphyseal Separations After Neonatal Osteomyelitis and Septic Arthritis

Cited by 26 publications

References 8 publications

Mini open surgical treatment of knee septic arthritis with local anesthesia: a prospective preliminary report

Mini open surgical treatment of knee septic arthritis with local anesthesia: a prospective preliminary report

Physeal separation and complete resorption of femoral head associated with chronic osteomyelitis of femoral diaphysis in a young child: rare case report

Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach

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