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Role of ultrasound in the diagnosis of paediatric acute osteomyelitis Cover

Role of ultrasound in the diagnosis of paediatric acute osteomyelitis

Open Access
|Mar 2021

Figures & Tables

Fig. 1.

Deep soft tissue fluid collection around bone. Axial (
A
) and sagittal (
B
) sections through distal thigh showing deep fluid collection (white star) in relation to distal femoral metaphysis (white arrow)
Deep soft tissue fluid collection around bone. Axial ( A ) and sagittal ( B ) sections through distal thigh showing deep fluid collection (white star) in relation to distal femoral metaphysis (white arrow)

Fig. 2.

Hyperechoic deep soft tissue fluid collection with superiosteal abscess. Axial (
A
) and sagittal (
B
) sections through proximal leg showing hyperechoic deep fluid collection (white star) in relation to proximal femoral metaphysis (white arrow) and superiosteal collection (white empty arrow)
Hyperechoic deep soft tissue fluid collection with superiosteal abscess. Axial ( A ) and sagittal ( B ) sections through proximal leg showing hyperechoic deep fluid collection (white star) in relation to proximal femoral metaphysis (white arrow) and superiosteal collection (white empty arrow)

Fig. 3.

Colour Doppler. A. Increased vascularity around bone and superiosteal collection (white arrow). B. Increased vascularity around bone, deep soft tissue (white star) and superiosteal collection (white empty arrow)
Colour Doppler. A. Increased vascularity around bone and superiosteal collection (white arrow). B. Increased vascularity around bone, deep soft tissue (white star) and superiosteal collection (white empty arrow)

Fig. 4.

MRI of the right proximal leg (
A. T1W axial image, B. T2W axial image, C. PDFS axial image, D. Coronal PDFS image, E. Sagittal PDFS images) subperiosteal abscess (white empty arrow) and altered marrow signals (white star)
MRI of the right proximal leg ( A. T1W axial image, B. T2W axial image, C. PDFS axial image, D. Coronal PDFS image, E. Sagittal PDFS images) subperiosteal abscess (white empty arrow) and altered marrow signals (white star)

Fig. 5.

Intra op image – surgical drainage subperiosteal abscess left distal femur
Intra op image – surgical drainage subperiosteal abscess left distal femur

Fig. 6.

Algorithm for the early diagnosis of paediatric AOM on USG
Algorithm for the early diagnosis of paediatric AOM on USG

Distribution of diagnosed AOM cases (n = 5)

CaseAge (years)GenderClinical profileSite of involvementDay of USG scan after onset
16MalePain and swelling, left distal thighLeft distal femoral metaphysis4
29MalePain, right proximal legRight proximal tibial metaphysis7
36Femalea. Swelling, pain, redness, right distal thigh and knee b. FeverRight distal femoral metaphysis4
412Malea. Pain, left proximal thigh b. FeverLeft proximal femoral metaphysis3
58MalePain and swelling, right distal thighRight distal femoral metaphysis5

Distribution of cases as per diagnosis after the final evaluation (n =18)

DiagnosisNumber of casesPercentage
AOM527.8
Soft tissue haematoma527.8
Cellulitis422.2
Osteosarcoma15.56
Osteoid osteoma15.56
Fractures211.1

Sonographic findings in confirmed cases of AOM at presentation (n = 5)

USG findingNumber of casesPercentage
Deep soft tissue fluid collection around the bone5100
Periosteal thickening or elevation with subperiosteal fluid collection480
Increased vascularity within or around the periosteum on colour Doppler480
DOI: https://doi.org/10.15557/jou.2021.0005 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Page range: 34 - 40
Submitted on: Oct 31, 2020
|
Accepted on: Jan 6, 2021
|
Published on: Mar 8, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Amit Kumar Paliwal, Ravinder Sahdev, Ankur Deshwal, Birma Ram, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.