Surgical Debridement Provided for Fast Recovery in Metaepiphyseal Haematogenous Osteomyelitis with Adjacent Subperiostal Abscess Formation in Two Children

Starlinger J, Ringl H, Weissinger M and Hajdu S

Department of Trauma Surgery, Medical University Vienna, General Hospital Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
Department of Orthopaedic and Orthopaedic Surgery, Hospital Waldviertel Zwettl, Propstei 5, 3910 Zwettl, Austria
Department for Radiology, Medical University Vienna, General Hospital Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria

^*Correspondance to: Julia Starlinger 

 PDF  Full Text DOI: 10.25107/2474-1647.1475

Abstract

Background: Primary metaepiphyseal haematogenous osteomyelitis (HOM) with subperiostal abscess formation at initial admission is a rare but serious condition. A considerate treatment strategy is crucial to avoid damage to the adjacent physis.
Methods: Charts and radiographic data of two cases were reviewed and reported in a retrospective study approved by the Institutional Review Board.Results: Two children presented with limping, painful restriction of movement and very mild laboratory findings. No trauma was remembered. Conventional radiography showed no abnormalities, but subsequent MRI revealed metaepiphyseal HOM as well as an adjacent subperiostal abscess collection.Conclusion: Antibiotic therapy and immediate surgical debridement provided for uncomplicated healing.

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Cite the article

Starlinger J, Ringl H, Weissinger M, Hajdu S. Surgical Debridement Provided for Fast Recovery in Metaepiphyseal Haematogenous Osteomyelitis with Adjacent Subperiostal Abscess Formation in Two Children. Clin Surg. 2017; 2: 1475.