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Osteomyelitis and Septic Joint
Andrew T. Trout, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Osteomyelitis: Infection of bone
            • Usually in lower extremity long bones or pelvis
            • Epiphysis/metaphysis in infants, metaphysis in young children
          • Septic arthritis: Infection of joint
            • Generally lower limb

        IMAGING

        • Nuclear Medicine Findings

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Mitha A et al: Community-acquired bone and joint infections in children: a 1-year prospective epidemiological study. Arch Dis Child. 100(2):126-9, 2015
                                  2. Acikgoz G et al: Chronic recurrent multifocal osteomyelitis: typical patterns of bone involvement in whole-body bone scintigraphy. Nucl Med Commun. 35(8):797-807, 2014
                                  3. Cook PC: Transient synovitis, septic hip, and Legg-Calvé-Perthes disease: an approach to the correct diagnosis. Pediatr Clin North Am. 61(6):1109-18, 2014
                                  4. Guillerman RP: Osteomyelitis and beyond. Pediatr Radiol. 43 Suppl 1:S193-203, 2013
                                  5. DiPoce J et al: Pediatric osteomyelitis: a scintigraphic case-based review. Radiographics. 32(3):865-78, 2012
                                  6. Hatzenbuehler J et al: Diagnosis and management of osteomyelitis. Am Fam Physician. 84(9):1027-33, 2011
                                  7. Wang GL et al: A meta-analysis of fluorodeoxyglucose-positron emission tomography versus scintigraphy in the evaluation of suspected osteomyelitis. Nucl Med Commun. 32(12):1134-42, 2011
                                  8. Browne LP et al: Optimal imaging strategy for community-acquired Staphylococcus aureus musculoskeletal infections in children. Pediatr Radiol. 38(8):841-7, 2008
                                  9. Mellado Santos JM: Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach. Eur Radiol. 16(9):2109-19, 2006
                                  10. Pineda C et al: Imaging of osteomyelitis: current concepts. Infect Dis Clin North Am. 20(4):789-825, 2006
                                  11. Connolly LP et al: Assessing the limping child with skeletal scintigraphy. J Nucl Med. 39(6):1056-61, 1998
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Osteomyelitis: Infection of bone
                                            • Usually in lower extremity long bones or pelvis
                                            • Epiphysis/metaphysis in infants, metaphysis in young children
                                          • Septic arthritis: Infection of joint
                                            • Generally lower limb

                                        IMAGING

                                        • Nuclear Medicine Findings

                                          • Radiographic Findings

                                            • CT Findings

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Mitha A et al: Community-acquired bone and joint infections in children: a 1-year prospective epidemiological study. Arch Dis Child. 100(2):126-9, 2015
                                                                  2. Acikgoz G et al: Chronic recurrent multifocal osteomyelitis: typical patterns of bone involvement in whole-body bone scintigraphy. Nucl Med Commun. 35(8):797-807, 2014
                                                                  3. Cook PC: Transient synovitis, septic hip, and Legg-Calvé-Perthes disease: an approach to the correct diagnosis. Pediatr Clin North Am. 61(6):1109-18, 2014
                                                                  4. Guillerman RP: Osteomyelitis and beyond. Pediatr Radiol. 43 Suppl 1:S193-203, 2013
                                                                  5. DiPoce J et al: Pediatric osteomyelitis: a scintigraphic case-based review. Radiographics. 32(3):865-78, 2012
                                                                  6. Hatzenbuehler J et al: Diagnosis and management of osteomyelitis. Am Fam Physician. 84(9):1027-33, 2011
                                                                  7. Wang GL et al: A meta-analysis of fluorodeoxyglucose-positron emission tomography versus scintigraphy in the evaluation of suspected osteomyelitis. Nucl Med Commun. 32(12):1134-42, 2011
                                                                  8. Browne LP et al: Optimal imaging strategy for community-acquired Staphylococcus aureus musculoskeletal infections in children. Pediatr Radiol. 38(8):841-7, 2008
                                                                  9. Mellado Santos JM: Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach. Eur Radiol. 16(9):2109-19, 2006
                                                                  10. Pineda C et al: Imaging of osteomyelitis: current concepts. Infect Dis Clin North Am. 20(4):789-825, 2006
                                                                  11. Connolly LP et al: Assessing the limping child with skeletal scintigraphy. J Nucl Med. 39(6):1056-61, 1998