title: Acute Primary Hematogenous Osteomyelitis in the Epiphysis of the Distal Tibia: A Case Report With Review of the Literature.
abstract: Osteomyelitis originating in the epiphysis of the long bones is quite rare and is usually found at either the distal femur or the proximal tibia. We report the case of a 12-year-old male with epiphyseal osteomyelitis that had developed in the distal tibia. To the best of our knowledge, this is the first published case report. The patient's history of a trauma that resembled an ankle sprain had delayed the diagnosis and subsequently led him to develop septic arthritis. The ankle is a common site of simple trauma; however, epiphyseal osteomyelitis is rare at this site. Therefore, if the symptoms continue or worsen after trauma, the clinician should check the affected site and take a more aggressive approach to make an early diagnosis.
authors.affiliation: Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, Korea.
authors.forename: Hyun-Jung
authors.initials: HJ
authors.lastname: Hwang
authors.affiliation: Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, Korea.
authors.forename: Woong-Kyo
authors.initials: WK
authors.lastname: Jeong
authors.affiliation: Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, Korea.
authors.forename: Dae-Hee
authors.initials: DH
authors.lastname: Lee
authors.affiliation: Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, Korea. Electronic address: soonlee@korea.ac.kr.
authors.forename: Soon-Hyuck
authors.initials: SH
authors.lastname: Lee
mesh_terms: D016512:Ankle Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods; D001707:Biopsy, Needle; D002648:Child; D057210:Delayed Diagnosis; D018450:Disease Progression; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D015601:Injury Severity Score; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D011859:Radiography / Q000379:methods; D018570:Risk Assessment; D012916:Soccer / Q000293:injuries; D013977:Tibia / Q000000981:diagnostic imaging / Q000473:pathology; D013997:Time Factors; D016896:Treatment Outcome
keywords: acute hematogenous osteomyelitis; distal tibia; epiphysis; pediatric