Hematogenous osteomyelitis of the calcaneus in children: surgical treatment and use of implanted antibiotic beads.
Hematogenous osteomyelitis is a relatively uncommon disorder that may prove elusive to early diagnosis and treatment. Metaphyseal long bones are commonly involved and the calcaneus is rarely affected. A high index of suspicion should be maintained regarding the pediatric patient with pain out of proportion to a minor injury. Delay in the diagnosis of hematogenous osteomyelitis in the pediatric patient can result in irreversible growth disturbances and devastating sequelae. The authors present a typical case history with an unusual postoperative course and a review of the clinical aspects and surgical treatment of hematogenous calcaneal osteomyelitis in a child.
Kelsey
R
R
Department of Podiatric Surgery, Welborn Baptist Hospital, Evansville, Indiana, USA.
Kor
A
A
Cordano
F
F
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002111:Calcaneus / Q000000981:diagnostic imaging; D002511:Cephalosporins / Q000008:administration & dosage*; D002648:Child; D003646:Debridement; D016503:Drug Delivery Systems; D005839:Gentamicins / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D005839:Gentamicins