Primäre Pyomyositis der Obturatormuskulatur

Koudela, K; Treska, V; Koudelová, J

doi:10.1055/s-2005-836292

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…Failure of the patient to improve with adequate and appropriate antibiotic treatment is an indication for intervention in the form of ultrasound- or CT-guided percutaneous drainage, which can be helpful diagnostically and therapeutically [1,3,10,19]. If this is inadequate, drainage should be performed with open surgery [1,20,21].…”

Section: Discussionmentioning

confidence: 99%

“…The location of the obturator muscles makes clinical diagnosis difficult and requires exhaustive repeated clinical examination and investigation with a high level of suspicion [10]. We report this case to draw the attention to this rare condition and to emphasize the importance of its early diagnosis to avoid unnecessary surgical intervention and the potentially severe sequelae.…”

Section: Introductionmentioning

confidence: 96%

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Primary obturator internus and obturator externus pyomyositis

2013

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BackgroundPyomyositis is a rare condition in immune competent patients and is usually seen in tropical countries. Pyomyositis of obturator muscles in particular is an extremely rare condition, which causes hip pain and mimics septic arthritis.Case Report:This is a case report of a 9-year-old boy without an underlying disease or a compromised immune system, who presented with knee pain that progressed to hip pain and inability to bear weight. He was diagnosed initially with septic arthritis of the hip and underwent unnecessary hip exploration surgery. Magnetic resonance imaging scan was performed postoperatively and showed pyomyositis of obturator internus and obturator externus muscles. He was managed medically and had a good outcome.Conclusions:A greater awareness of this emergency condition is necessary to prevent misdiagnosis, unnecessary surgical intervention, and to avoid the devastating possible complications of delayed diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Primary obturator internus and obturator externus pyomyositis

2013

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“…Leg length and axial alignment of the contralateral extremity are determined as described by . Surgical procedures involved the tool preOp plan, developed by Siemens, to support osteosynthesis planning with regard to the 95° condylar blade plate and the LISS (Less Invasive Stabilisation System) (Synthes, West Chester, Pennsylvania) (Koudela et al, 2010).…”

Section: Surgical Techniquementioning

confidence: 99%

Fixation of Periprosthetic Supracondylar Femur Fractures Above Total Knee Arthroplasty – The Indirect Reduction Technique with the Condylar Blade Plate and the Minimally Invasive Technique with the LISS

Kolb¹,

Grützner²,

Marx³

et al. 2012

Recent Advances in Hip and Knee Arthroplasty

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Primary obturator-muscle pyomyositis in immunocompetent children

García-Mata

Hidalgo-Ovejero

Esparza-Estaun

2012

Journal of Children's Orthopaedics

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Purpose Primary pyomyositis in immunocompetent children in non-tropical regions (countries with temperate climates) is very uncommon. It is rarely found in the intrapelvic muscles, and even more rarely in the obturator muscles. We try to draw attention to the potential occurrence in these conditions. Methods Five new cases of primary obturator-muscle pyomyositis in immunocompetent children aged between 6 and 11 years in a temperate climate are presented. They present with symptoms as follows: fever, pain (thigh, abdominal, inguinal, and/or hip pain), and limp. Three of them had no hip movement limitation. All of them had tenderness in the perineum zone. Results Laboratory tests may reveal high erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) counts, but depend on the length of diagnostic delay. The evolution time oscillated from 1 to 5 days. Fever and limp disappearance depends on the evolution time previous to the onset of the antibiotics administration. In 4 out of 5 patients, Staphylococcus aureus was present in the blood cultures. In all cases of obturator-muscle pyomyositis, diagnosis was confirmed using computed tomography (CT) scan (one) and/or magnetic resonance imaging (MRI) (four). Conclusions Obturator-muscle pyomyositis is aimed at emphasizing the diagnostic difficulties associated with the condition, due to its deep location and to the fact that the disease presents with multiple manifestations that may initially cause confusion, since they mimic other conditions occurring in the abdomen, hip (septic arthritis, osteomyelitis), spine, etc. The diagnosis is only confirmed using CT scan and/or MRI. In the five patients with antibiotics treatment, the condition resolves without sequelae, even at long-term follow-up.

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Primäre Pyomyositis der Obturatormuskulatur

Cited by 6 publications

References 6 publications

Primary obturator internus and obturator externus pyomyositis

Primary obturator internus and obturator externus pyomyositis

Fixation of Periprosthetic Supracondylar Femur Fractures Above Total Knee Arthroplasty – The Indirect Reduction Technique with the Condylar Blade Plate and the Minimally Invasive Technique with the LISS

Primary obturator-muscle pyomyositis in immunocompetent children

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