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Current imaging concepts in pediatric osteomyelitis

  • Pediatric
  • Published:
European Radiology Supplements

Abstract

The diagnosis of osteomyelitis remains a difficult diagnostic dilemma. In this article, which is particularly aimed at those whose practice does not include a large paediatric population, we review the pathophysiology of paediatric osteomyelitis and contrast it with the available imaging modalities. We examine the role of the radiologist as well as the usefulness of each modality. Secondly, we review the different clinical scenarios such as acute, subacute and chronic, as well as specific forms of osteomyelitis; the latter includes subacute chronic ostemyelitis, toxic synovitis, spondylodiscitis as well as the congenital inflammatory disorders such as rubella and syphylis. The most useful imaging findings to look for and their significance are assessed and we evaluate their usefulness in each case. Close cooperation between clinicians and imagers remains the key to early and adequate diagnosis of paediatric osteomyelitis.

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References

  1. Jaramillo D, Treves ST, Kasser JR et al. (1995) Osteomyelitis and septic arthritis in children: appropriate use of imaging to guide treatment. Am J Roentgenol 165:399

    CAS  PubMed  Google Scholar 

  2. Asmar B (1992) Osteomyelitis in the neonate. Infect Dis Clin North Am 6:117

    Google Scholar 

  3. Oudjhane K (1991) Infection. In: Reed M (ed) Pediatric skeletal radiology. Williams and Wilkins, Baltimore, p 393

  4. Howard AW, Viskontas D et al. (1999) Reduction in osteomyelitis and septic arthritis related to HIB vaccination. J Pediatr Orthop 19:705

    Article  CAS  PubMed  Google Scholar 

  5. Demopulos GA, Bleck EE, McDougall IR (1988) Role of radionuclide imaging in the diagnosis of acute osteomyelitis. J Pediatr Orthop 8:558

    CAS  PubMed  Google Scholar 

  6. Riebel TW, Nasir R, Nazarenko O (1996) The value of sonography in the detection of osteomyelitis. Pediatr Radiol 26:291

    CAS  PubMed  Google Scholar 

  7. Gylys-Morin VM (1998) MR imaging of pediatric musculoskeletal inflammatory and infectious disorders. Magn Reson Imaging Clin North Am 6:537

    Google Scholar 

  8. Kaiser S, Jorulf H et al. (1998) Clinical value of imaging techniques in childhood osteomyelitis. Acta Radiol 39:523

    CAS  PubMed  Google Scholar 

  9. Marti-Bonmati L, Aparisic F et al. (1993) Brodie abscess: MR imaging in 10 patients. J Magn Reson Imaging 3:543

    CAS  PubMed  Google Scholar 

  10. (2002) Acute hematogenus osteomyelitis of children: assessment of scintigraphy based diagnosis in the era of MRI. J Nucl Med 43:1310

    PubMed  Google Scholar 

  11. Oudjhane K, Azouz EM (2001) Imaging of osteomyelitis in children. Radiol Clin North Am 39:251–266

    Google Scholar 

  12. Strouse PJ, Dipietro MA, Teo EHJ et al. (1999) Power Doppler evaluation of joint effusion: investigation in a rabbit model. Pediatr Radiol 29:617

    Article  CAS  PubMed  Google Scholar 

  13. Zawin J, Hoffer F, Rand F et al. (1993) Joint effusion in children with an irritable hip: ultrasound diagnosis and aspiration. Radiology 187:459

    CAS  PubMed  Google Scholar 

  14. Lee SK, Suh KJ, Kim YW et al. (1999) Septic arthritis vs transient synovitis at MR imaging: preliminary assessment with signal intensity alterations in bone marrow. Radiology 211:459

    CAS  PubMed  Google Scholar 

  15. Giedion A, Holthusen W, Masel LF et al. (1972) Subacute and chronic “symmetrical” osteomyelitis. Ann Radiol (Paris) 15:329

    Google Scholar 

  16. Song K, Ogden J, Ganey T et al. (1997) Contiguous diskitis and osteomyelitis in children. J Pediatr Orthop 17:470

    Article  CAS  PubMed  Google Scholar 

  17. Ring D, Johnston C, Wenger D (1995) Pyogenic infectious spondylitis in children: the convergence of diskitis and vertebral osteomyelitis. J Pediatr Orthop 15:652

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Section of Pediatric Radiology, Department of Radiology, UMC Nijmegen, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands

    J. G. Blickman, C. E. van Die & J. W. J. de Rooy

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  1. J. G. Blickman
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  2. C. E. van Die
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  3. J. W. J. de Rooy
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Corresponding author

Correspondence to J. G. Blickman.

Additional information

ECR 2004 - Categorical Course “Pediatric Radiology”

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Blickman, J.G., van Die, C.E. & de Rooy, J.W.J. Current imaging concepts in pediatric osteomyelitis. Eur Radiol Suppl 14, L55–L64 (2004). https://doi.org/10.1007/s00330-003-2032-3

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