Musculoskeletal Infections

Neonatal Osteomyelitis

“…However, the specificity of plain radiographs for detecting osteomyelitis is greater (75% to 83%) than its sensitivity (43% to 75%) [33]. Plain radiography can show soft tissue swelling and destroyed fascial planes within days after onset of infection, but may be subtle and not obvious until day 5 to 7 in children [34].…”

Evidence of tuberculosis among children in medieval (13th–15th century) Wrocław: A case study of hip joint tuberculosis in a juvenile skeleton excavated from the crypt of the St. Elizabeth church

“…Usually monoarticular; the most commonly involved joints in nongonococcal septic arthritis are the knee and hip, followed by the shoulder and ankle (Barton et al, 1987;Shirtliff and Mader, 2002) Arthritis of the infected joint, osteomyelitis Osteopenia, diffused joint space narrowing may evolve (García-Arias et al, 2012); features of osteomyelitis which in chronic and sub-chronic infections manifests in sequestra formation, which are visible as a focal area of sclerotic bone within an area of translucency (Christian et al, 2007) Unauthenticated Download Date | 5/10/18 10:52 AM should be taken into consideration as a probable cause but due to the young age at death of the examined individual and quite clear macroscopic picture of the disease, they seem to be less probable.…”

Septic Arthritis and Tuberculosis Arthritis

“…Sub acute and chronic osteomyelitis have different imaging characteristics than marginal sclerosis and osteopenia, which indicate areas of healing. The most specific finding of chronic osteomyelitis is a sequestrum, a fragment of dead bone surrounded by inflammatory tissue, which radiographically appears as a focal area of sclerotic bone within an area of lucency [59].…”

“…MRI with intravenously administered gadolinium contrast has a sensitivity of almost 100%, with a specificity of over 75% [63]. MRI findings include joint effusion, cartilage and bone destruction, soft tissue abscesses, bone edema and cortical interruption.…”