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AbstractAbstract
[en] We reviewed the clinical, radiographic, and computed tomographic (CT) findings in eight children with a histologically proven diagnosis of epiphyseal or apophyseal osteomyelitis. In all cases the femur was involved: in five the osteomyelitis was localized in the femoral condyle, in two it was in the greater trochanter, and in one it was in the femoral head epiphysis. In four of the six cases of epiphyseal involvement there was associated joint effusion or septic arthritis. CT examination may demonstrate a serpentine tract, a sequestrum, cortical destruction or adjacent soft tissue swelling and can differentiate osteomyelitis from other epiphyseal lucent lesions, particularly chondroblastoma and osteoid osteoma. Early diagnosis helps avoid delays in initiating antibiotic or surgical treatment caused by the unusual (epiphyseal or apophyseal) location of the bone abscess. (orig./GD)
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Journal Article
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ANIMALS, BODY, CONNECTIVE TISSUE, COUNTING TECHNIQUES, DIAGNOSTIC TECHNIQUES, DISEASES, DRUGS, ELEMENTS, LABELLED COMPOUNDS, MAMMALS, MAN, MATERIALS, METALS, NUCLEI, ORGANS, PATHOLOGICAL CHANGES, PRIMATES, RADIOACTIVE MATERIALS, RADIOISOTOPE SCANNING, SKELETAL DISEASES, TISSUES, TOMOGRAPHY, TRANSITION ELEMENTS, VERTEBRATES
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