title: Preceding trauma in childhood hematogenous bone and joint infections.
abstract: Preceding trauma may play a role in the etiology and pathogenesis of hematogenous bone and joint infections. Among 345 children with an acute hematogenous bone and/or joint infection, 20% reported trauma during a 2-week period leading to infection. Blunt impact, bruises, or excoriations were commonly reported. The rate was similar to that in the general pediatric population obtained from the literature. In the study group, patients with and without trauma were similar in age, serum C-reactive protein and erythrocyte sedimentation rate, length of hospitalization, and late sequelae. Preceding minor trauma did not prove to be significant as an etiological or as a prognostic factor.
authors.affiliation: aDepartment of Orthopedics and Traumatology, Turku University Hospital, University of Turku, Turku bChildren's Hospital, Helsinki University Central Hospital, University of Helsinki, Helsinki, Finland.
authors.forename: Markus
authors.initials: M
authors.lastname: Pääkkönen
authors.forename: Markku J T
authors.initials: MJ
authors.lastname: Kallio
authors.forename: Petteri
authors.initials: P
authors.lastname: Lankinen
authors.forename: Heikki
authors.initials: H
authors.lastname: Peltola
authors.forename: Pentti E
authors.initials: PE
authors.lastname: Kallio
mesh_terms: D000293:Adolescent; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D001842:Bone and Bones / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D011379:Prognosis; D011446:Prospective Studies; D014947:Wounds and Injuries / Q000150:complications*