Hematogenous Calcaneal Osteomyelitis in Children

Mooney, Megan; Haidet, Kirk C.; Liu, Jiayong; Ebraheim, Nabil A.

doi:10.1177/1938640016679704

Cited by 12 publications

(5 citation statements)

References 17 publications

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“…Clinical picture is less dramatic and laboratory findings may also be subtle. 7 Average duration of symptoms before presentation has been reported as 7.1 days by Rasool(8), 6.8 days by Leigh et al (9), 17.1 days by Mooney et al (10). Only 22% patients have fever at time of presentation.…”

Section: Discussionmentioning

confidence: 97%

“…9 Plane radiographs are helpful in 14e71% cases whereas MRI scan are diagnostic in 100% cases. 10 There is relatively large number of differential diagnoses of heel pain in children. 10 These include.…”

Section: Discussionmentioning

confidence: 99%

“…10 There is relatively large number of differential diagnoses of heel pain in children. 10 These include.…”

Section: Discussionmentioning

confidence: 99%

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Osteomyelitis complicating Sever‘s disease: A report of two cases

Kumar

Jain

Karpe

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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Sever's disease is a common cause of heel pain in young children and it has a self-limiting course without long term complications. Osteomyelitis of calcaneus is a sinister condition which can lead to serious complication if treatment is delayed. Indolent nature of calcaneus osteomyelitis leads to overlap in its clinical picture with Sever's disease. Two cases of Sever's disease which were later diagnosed and managed for osteomyelitis are reported. Salient differentiating features of Sever's disease and calcaneus osteomyelitis along with management strategy are discussed.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Osteomyelitis complicating Sever‘s disease: A report of two cases

Kumar

Jain

Karpe

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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“…Calcaneal osteomyelitis (CO) is an uncommon condition, which usually occurs following trauma, orthopedic surgery, diabetic ulcers, and hematogenous spread (Fukuda et al 2010, Mooney et al 2017. Infrequent causes are iatrogenic steroid injection and acupuncture (Waibel et al 2019).…”

mentioning

confidence: 99%

Single-stage debridement with implantation of antibiotic-loaded calcium sulphate in 34 cases of localized calcaneal osteomyelitis

et al. 2020

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Background and purpose — The successful eradication of calcaneus infection with limb salvage remains a challenge. We describe the outcomes of cortical bone windowing followed by eggshell-like debridement and implantation of antibiotic-loaded calcium sulphate (CS) for localized (Cierny–Mader type III) calcaneal osteomyelitis (CO). Patients and methods — We report a retrospective study of 34 patients. Infection followed trauma or orthopedic surgery in 30 patients and hematogenous spread in 4 patients. 31 patients had a sinus tract, accompanied by a soft tissue defect in 3 patients. All patients received cortical bone windowing, debridement, multiple sampling, local implantation of vancomycin- and gentamicin-loaded CS, skin closure or flap coverage, and culture-specific systematic antibiotic treatment in a single-stage procedure. Patients were followed up for a median of 26 months. Results — Infection was eradicated in 29 patients after the single-stage surgery, and all of the 5 recurrent infections were cleared by repeated surgery without amputation. Other adverse events included 11 patients with aseptic wound leakage and 1 unrelated death. Compared with those before surgery, the median postoperative scores of the American Orthopaedic Foot & Ankle Society (AOFAS) ankle hindfoot scale (65 vs. 86 vs. 89) and the visual analog scale (VAS) for pain (6 vs. 3 vs. 1) improved at the 1-year and 2-year follow-up. Interpretation — This single-stage protocol, cortical bone windowing, and eggshell-like debridement combined with local implantation of antibiotic-loaded CS is effective in treating type III CO. However, the incidence of aseptic wound leakage is high.

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“…17 Such delays in diagnosis of osteomyelitis of the calcaneus has also been associated with worse prognosis. 18 Indeed, our nine-year-old male patient underwent an amputation below the knee.…”

Section: Discussionmentioning

confidence: 95%

Acute hematogenous osteomyelitis in children: a case series

Irianto

Gema

Sukmajaya³

2019

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Background Chronic osteomyelitis is still a major cause of morbidity and disability in children living in developing countries. Neglect of acute osteomyelitis and its progression to chronic osteomyelitis leads to significant morbidity. This report is the first series to describe such cases in Indonesia. Objective To describe 12 pediatric cases of chronic osteomyelitis in order to remind clinicians about the debilitating complications of musculoskeletal infection. Methods This report is a case series of 12 children with chronic osteomyelitis admitted to dr. Soetomo General Hospital, Surabaya, East Java, in 2011-2017. We acquired data from medical records. The patients’ quality of life was measured using the Child Health Assessment Questionnaire Disability Index (C-HAQ-DI). Results The patients’ mean age was eight years and they were predominantly male. The most common infection location was the femur (7/12). Microbial cultures were positive in 9/12 of cases, predominantly with Staphylococcus aureus. Erythrocyte sedimentation rate (ESR) was elevated in 11 patients. All patients were diagnosed late, with an average delay of presentation to Orthopedics of 10.5 months. Most of patients experienced mild to moderate disability after the disease, as assessed by the C-HAQ-DI. Conclusion Diagnosis of osteomyelitis in children is quite difficult, given the lack of specific diagnostic tests. Delayed diagnosis and inappropriate treatment may result in long-term morbidity and disability. Clinicians should have an increased awareness of the clinical features of osteomyelitis, including unusual presentations such as calcaneal osteomyelitis.

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Hematogenous Calcaneal Osteomyelitis in Children

Cited by 12 publications

References 17 publications

Osteomyelitis complicating Sever‘s disease: A report of two cases

Osteomyelitis complicating Sever‘s disease: A report of two cases

Single-stage debridement with implantation of antibiotic-loaded calcium sulphate in 34 cases of localized calcaneal osteomyelitis

Acute hematogenous osteomyelitis in children: a case series

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