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Osteomyelitis, Sports Medicine

Dusty Marie Narducci, MD, Board Certified Family Medicine, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Broadly defined; recognizes the duration of the infection and whether suppuration or sclerosis of bone is present

  • Progressive inflammatory destruction of bone with apposition of new b...

DIAGNOSIS

HISTORY

  • Children with acute hematogenous osteomyelitis may present with abrupt-onset high fever, chills, fatigue, irritability, lethargy, restricted motion and local pain, edema, erythema, an...

TREATMENT

  • Consider issues related to débridement, antibiotic selection, and duration of therapy.

  • Immobilization of the affected part, hydration, fever, and pain control

  • Involvement of specialists (ortho...

ONGOING CARE

  • Protection of the joint with traction or splinting and starting protected motion early is a consideration.

  • Limitation of weight-bearing until x-ray evidence of defect’s partial healing due...

REFERENCES

1
Kremers HM, Nwojo ME, Ransom JE, et al. Trends in the epidemiology of osteomyelitis: a population-based study, 1969 to 2009. J Bone Joint Surg Am.  2015;97(10):837–845.
2
Hatzenbuehler ...

CLINICAL PEARLS

  • The most common pathogen implicated in development of osteomyelitis in both children and adults is S. aureus (MRSA, MSSA).

  • Often, abrupt high fever presents with acute hematogenous oste...

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