The value of sonography in the detection of osteomyelitis

Riebel, T.; Nasir, R.; Назаренко, О. Я.

doi:10.1007/bf01372116

Cited by 105 publications

(54 citation statements)

References 14 publications

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“…Occasionally, bacille Calmette-Guérin granuloma, abscess, and osteomyelitis of the rib or sternum manifest as chest wall masses. At US, osteomyelitis appears as fluid around or adjacent to a bone (47,49). This finding is suggestive of the exudative response in acute osteomyelitis.…”

Section: Chest Wall Lesionsmentioning

confidence: 98%

US in the Diagnosis of Pediatric Chest Diseases

Kim¹,

Kim²,

Kim³

et al. 2000

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103

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Most pediatric chest diseases are adequately evaluated with chest radiography. However, when chest radiography does not allow identification of the location and nature of an area of increased opacity, ultrasonography (US) can help establish the diagnosis. US may be helpful in evaluation of persistent or unusual areas of increased opacity in the peripheral lung, pleural abnormalities, and mediastinal widening; US is particularly useful in patients with complete opacification of a hemithorax at radiography. In cases of pulmonary parenchymal lesions, identification of air or fluid bronchograms at US and of pulmonary vessels at color flow imaging is useful for differentiating pulmonary consolidation or atelectasis from lung masses and pleural lesions. US allows characterization of pleural fluid collections as simple, complicated, or fibroadhesive, which is important information for planning thoracentesis or thoracotomy. Computed tomography and magnetic resonance imaging are superior to US in evaluation of the mediastinum, but US is a reasonable alternative in certain situations (eg, to avoid unnecessary investigation of a normal thymus simulating a mediastinal mass). In cases of chest wall lesions, US may enable localization of the site of origin to soft tissues or an extrapleural intrathoracic location. Osseous involvement, particularly rib involvement, is easily evaluated with US.

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Section: Chest Wall Lesionsmentioning

confidence: 98%

US in the Diagnosis of Pediatric Chest Diseases

Kim¹,

Kim²,

Kim³

et al. 2000

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103

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“…In the last decade, there were a lot of articles about usefulness of ultrasonography in the diagnosis of AHO (24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). Prof. Siaurusaitis et al in Vilnius studied the application of ultrasound in diagnosis of bone and joint diseases using conventional ultrasonography and performed measurements of the speed of ultrasound in bones (8,36).…”

Section: Medicina (Kaunas) 2009; 45(8)mentioning

confidence: 99%

The accuracy of different imaging techniques in diagnosis of acute hematogenous osteomyelitis

Malcius¹,

Jonkus²,

Kuprionis³

et al. 2009

Medicina

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Summary.Objective. The aim of this study was to establish and compare diagnostic accuracy (sensitivity, specificity, and diagnostic odds ratio) of plain x-ray, ultrasonography, bone scintigraphy, computed tomography (CT), and magnetic resonance imaging (MRI) CT was 0.67 (95% CI, specificity, 0.5 (95% CI, and diagnostic odds ratio, 2.0 (95% CI,. The sensitivity of early x-ray was specificity, 0.96 (95% CI, and diagnostic odds ratio, 4.34 (95% CI,. The sensitivity of MRI was 0.81 (95% CI, specificity, 0.67 (95% CI, and diagnostic odds ratio, 8.67 (95% CI,. The sensitivity of late x-ray was 0.82 (95% CI, 0.75-0.88); specificity, 0.92 (95% CI, 0.62-1.0); and diagnostic odds ratio, 51.17 (95% CI, 6.61-2222.0). The sensitivity of bone scintigraphy was 0.81 (95% CI, specificity, 0.84 (95% CI, and diagnostic odds ratio, 22.30 (95% CI,.Conclusions. Our analysis showed that late x-ray is the most valuable radiologic method in the diagnosis of acute hematogenous osteomyelitis, but bone scintigraphy and magnetic resonance imaging are the most valuable tests at the onset of the disease.Correspondence to V. Barauskas,

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“…Ultrasound can depict juxtacortical soft tissue swelling as soon as 1 or 2 days after the onset of symptoms [ 17 ], well before radiographic changes are evident. In the early stages, soft tissue infl ammation appears as loss of normal tissue planes along with interdigitating areas of decreased echogenicity.…”

Section: Ultrasoundmentioning

confidence: 99%

Musculoskeletal Infection

Stein-Wexler

2014

Pediatric Orthopedic Imaging

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Manifestation of musculoskeletal infection in children depends on the developmental anatomy of bones and in particular its changing vascular supply. Thus, it is essential to understand this process thoroughly. Osteomyelitis, septic arthritis, and cellulitis are relatively common. There are three accepted stages of osteomyelitisacute, subacute, and chronic. Each has a unique presentation and imaging appearance, but they can be confused with other entities. Radiology, ultrasound, nuclear imaging, CT, and MRI each play a critical role depending on the clinical scenario and the suspected pathogen. Much of this discussion focuses on common bacterial infections (including methicillin-resistant Staphylococcus aureus ), but meningococcemia, tuberculosis, fungal infections, and syphilis are also discussed. In addition, the chapter presents manifestations of osteomyelitis in unique locations, such as the epiphysis, the pelvis, and the spine, and in unique patient populations, such as those with sickle-cell disease. Although chronic recurrent multifocal osteomyelitis is auto-infl ammatory rather than infectious, we include it here as well.

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The value of sonography in the detection of osteomyelitis

Abstract: Ultrasonography is a very helpful tool for establishing the correct diagnosis in osteomyelitis and reducing the frequency of additional imaging studies.

Cited by 105 publications

References 14 publications

US in the Diagnosis of Pediatric Chest Diseases

US in the Diagnosis of Pediatric Chest Diseases

The accuracy of different imaging techniques in diagnosis of acute hematogenous osteomyelitis

Musculoskeletal Infection

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