Primary subacute haematogenous osteomyelitis of the tarsal bones in children.
Primary subacute haematogenous osteomyelitis (PSHO) of the small bones of the foot is a rare and infrequently considered cause of a limp in children. We describe 11 patients with PSHO, of whom nine were under three years of age, who had a limp with few symptoms. The talus was involved in 36%. Bone scans were positive in all patients and led to localisation of the lesion in two. The radiological features included soft-tissue swelling, an osteolytic lesion in the talus and the calcaneus and a sclerotic appearance of the cuboid and the navicular bones. All patients except one were cured with antibiotics.
Ezra
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Dana Children's Hospital, Sackler School of Medicine, Tel-Aviv University, Israel.
Wientroub
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S
D000208:Acute Disease; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D004487:Edema / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D005534:Foot Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D005684:Gait; D006801:Humans; D007223:Infant; D008297:Male; D010014:Osteolysis / Q000175:diagnosis / Q000000981:diagnostic imaging; D010019:Osteomyelitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D010026:Osteosclerosis / Q000175:diagnosis / Q000000981:diagnostic imaging; D011859:Radiography; D011877:Radionuclide Imaging; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D013628:Talus / Q000000981:diagnostic imaging / Q000473:pathology; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000473:pathology*; D014945:Wound Healing
D000900:Anti-Bacterial Agents