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Role of ultrasound in the diagnosis of paediatric acute osteomyelitis

AIM: The aims of our study were to evaluate cases of extremity pain or swelling in paediatric patients using USG to diagnose acute osteomyelitis, and correlate USG findings with MRI findings. MATERIAL AND METHODS: 18 paediatric patients with extremity pain or swelling were evaluated. After the clini...

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Autores principales: Paliwal, Amit Kumar, Sahdev, Ravinder, Deshwal, Ankur, Ram, Birma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Exeley Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008204/
https://www.ncbi.nlm.nih.gov/pubmed/33791114
http://dx.doi.org/10.15557/JoU.2021.0005
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author Paliwal, Amit Kumar
Sahdev, Ravinder
Deshwal, Ankur
Ram, Birma
author_facet Paliwal, Amit Kumar
Sahdev, Ravinder
Deshwal, Ankur
Ram, Birma
author_sort Paliwal, Amit Kumar
collection PubMed
description AIM: The aims of our study were to evaluate cases of extremity pain or swelling in paediatric patients using USG to diagnose acute osteomyelitis, and correlate USG findings with MRI findings. MATERIAL AND METHODS: 18 paediatric patients with extremity pain or swelling were evaluated. After the clinical and laboratory work-up, imaging was done using radiographic examination, USG and MRI of the affected limb. RESULTS: 5 patients (27.8%) out of 18 were diagnosed with acute osteomyelitis based on USG findings, confirmed by MRI and surgical drainage. The mean age of the patients with acute osteomyelitis was 8.2 years. Male children were more commonly affected as compared to female. The distal metaphysis of the femur was the most common site involved (80%). The right lower limb was more commonly affected. The most frequent presentation was pain at the affected site. On USG, deep soft tissue fluid collection around the bone was present in all cases (100%). Periosteal thickening or elevation with subperiosteal fluid collection was seen in 4 cases (80%). Increased vascularity within or around the periosteum on colour Doppler was seen in 4 cases (80%). CONCLUSIONS: Acute osteomyelitis is a common entity in the paediatric population, presenting with acute limb pain and swelling. Early diagnosis and management of acute osteomyelitis are essential to prevent serious complications. USG can play an important role in the early diagnosis of paediatric acute osteomyelitis, and should be incorporated into the treatment protocols followed in cases of suspected acute osteomyelitis. MRI should be reserved as problem-solving tool.
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spelling pubmed-80082042021-03-30 Role of ultrasound in the diagnosis of paediatric acute osteomyelitis Paliwal, Amit Kumar Sahdev, Ravinder Deshwal, Ankur Ram, Birma J Ultrason Medicine AIM: The aims of our study were to evaluate cases of extremity pain or swelling in paediatric patients using USG to diagnose acute osteomyelitis, and correlate USG findings with MRI findings. MATERIAL AND METHODS: 18 paediatric patients with extremity pain or swelling were evaluated. After the clinical and laboratory work-up, imaging was done using radiographic examination, USG and MRI of the affected limb. RESULTS: 5 patients (27.8%) out of 18 were diagnosed with acute osteomyelitis based on USG findings, confirmed by MRI and surgical drainage. The mean age of the patients with acute osteomyelitis was 8.2 years. Male children were more commonly affected as compared to female. The distal metaphysis of the femur was the most common site involved (80%). The right lower limb was more commonly affected. The most frequent presentation was pain at the affected site. On USG, deep soft tissue fluid collection around the bone was present in all cases (100%). Periosteal thickening or elevation with subperiosteal fluid collection was seen in 4 cases (80%). Increased vascularity within or around the periosteum on colour Doppler was seen in 4 cases (80%). CONCLUSIONS: Acute osteomyelitis is a common entity in the paediatric population, presenting with acute limb pain and swelling. Early diagnosis and management of acute osteomyelitis are essential to prevent serious complications. USG can play an important role in the early diagnosis of paediatric acute osteomyelitis, and should be incorporated into the treatment protocols followed in cases of suspected acute osteomyelitis. MRI should be reserved as problem-solving tool. Exeley Inc. 2021 2021-03-08 /pmc/articles/PMC8008204/ /pubmed/33791114 http://dx.doi.org/10.15557/JoU.2021.0005 Text en © Polish Ultrasound Society http://creativecommons.org/licenses/cc-by-nc-nd/4.0/ http://creativecommons.org/licenses/cc-by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial NoDerivatives License (CC BY-NC-ND). Reproduction is permitted for personal, educational, non-commercial use, provided that the original article is in whole, unmodified, and properly cited.
spellingShingle Medicine
Paliwal, Amit Kumar
Sahdev, Ravinder
Deshwal, Ankur
Ram, Birma
Role of ultrasound in the diagnosis of paediatric acute osteomyelitis
title Role of ultrasound in the diagnosis of paediatric acute osteomyelitis
title_full Role of ultrasound in the diagnosis of paediatric acute osteomyelitis
title_fullStr Role of ultrasound in the diagnosis of paediatric acute osteomyelitis
title_full_unstemmed Role of ultrasound in the diagnosis of paediatric acute osteomyelitis
title_short Role of ultrasound in the diagnosis of paediatric acute osteomyelitis
title_sort role of ultrasound in the diagnosis of paediatric acute osteomyelitis
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008204/
https://www.ncbi.nlm.nih.gov/pubmed/33791114
http://dx.doi.org/10.15557/JoU.2021.0005
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