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Imaging of Hematogenous Osteomyelitis and Septic Arthritis in Children

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Evidence-Based Imaging in Pediatrics

Key Points

■ When signs and symptoms of osteomyelitis cannot be localized, bone scintigraphy is the preferred imaging (limited evidence).

■ MRI is the imaging modality of choice for evaluation of AHOM when symptoms are localized (limited evidence).

■ PET FDG/CT is the imaging modality of choice for evaluation of chronic osteomyelitis (limited evidence, based on studies on adult population).

■ Ultrasound is the imaging modality of choice for evaluation of hip joint effusion in septic hip (limited–moderate evidence).

■ No data were found in the medical literature on the cost-effectiveness of the different imaging modalities in the evaluation of hematogenous osteomyelitis and septic joint.

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References

  1. Pineda C, Vargas A, Rodríguez AV. Infect Dis Clin North Am 2006;4: 789–825.

    Article  Google Scholar 

  2. Blickman JG, van Die CE, de Rooy JW. Eur Radiol 2004;14(Suppl 4): L55–L64.

    Article  PubMed  Google Scholar 

  3. Steer AC, Carapetis JR. Paediatr Drugs 2004; 6(6):333–346.

    Article  PubMed  Google Scholar 

  4. Oudjhane K, Azouz EM. Radiol Clin North Am 2001; 39(2): 251–266.

    Article  CAS  PubMed  Google Scholar 

  5. Faden H, Grossi M. Am J Dis Child 1991; 145(1): 65–69.

    CAS  PubMed  Google Scholar 

  6. Kao HC, Huang YC, Chiu CH, Chang LY, Lee ZL, Chung PW et al. J Microbiol Immunol Infect 2003; 36(4):260–265.

    PubMed  Google Scholar 

  7. Arnold SR, Elias D, Buckingham SC, Thomas ED, Novais E, Arkader A et al. J Pediatr Orthop 2006; 26(6):703–708.

    PubMed  Google Scholar 

  8. Browne LP, Mason EO, Kaplan SL, Cassady CI, Krishnamurthy R et al. Pediatr Radiol 2008;38(8):841–847.

    Article  PubMed  Google Scholar 

  9. Dohin B, Gillet Y, Kohler R, Lina G, Vandenesch F, Vanhems P et al. Pediatr Infect Dis J 2007; 26(11):1042–1098.

    Article  PubMed  Google Scholar 

  10. Gillet Y, Vanhems P, Lina G, Bes M, Vandenesch F, Floret D et al. Clin Infect Dis 2007;1;45(3):315–321.

    Article  PubMed  Google Scholar 

  11. Martínez-Aguilar G, Avalos-Mishaan A, Hulten K, Hammerman W, Mason EO Jr et al. Pediatr Infect Dis J 2004; 23(8):701–706.

    Article  PubMed  Google Scholar 

  12. Teo HE, Peh WC. Pediatr Radiol 2004; 34(11): 853–860.

    Article  PubMed  Google Scholar 

  13. McPherson DM. Neonatal Netw 2002; 21(1):9–22

    PubMed  Google Scholar 

  14. Offiah AC. Euro J Radiol 2006; 60(2):221–232.

    Article  CAS  Google Scholar 

  15. Dormans JP, Drummond DS. J Am Acad Orthop Surg 1994; 2(6):333–341.

    PubMed  Google Scholar 

  16. Nixon GW. Am J Roentgenol 1978; 130(1): 123–129.

    CAS  Google Scholar 

  17. Howard CB, Einhorn M, Dagan R, Yagupski P, Porat S. J Bone Joint Surg Br 1994; 76(2): 311–314.

    CAS  PubMed  Google Scholar 

  18. Barton LL, Dunkle LM, Habib FH. Am J Dis Child 1987; 141(8): 898–900.

    CAS  PubMed  Google Scholar 

  19. Azou EM, Greenspan A, Marton D. Skeletal Radiol 1993; 22(1): 17–23.

    Google Scholar 

  20. Welkon CJ, Long SS, Fisher MC, Alburger PD. Pediatr Infect Dis 1986; 5(6): 669–676.

    Article  CAS  PubMed  Google Scholar 

  21. Choi IH, Shin YW, Chung CY, Cho TJ, Yoo WJ et al. J Bone Joint Surg Am 1990 72(8): 1150–1165.

    CAS  PubMed  Google Scholar 

  22. Betz RR, Cooperman DR, Wopperer JM, Sutherland RD, White JJ Jr, Schaaf HW et al. J Pediatr Orthop 1990;10(3): 365–372.

    CAS  PubMed  Google Scholar 

  23. Alderson M et al. J Bone Joint Surg Br 1986; 68(2): 268–274.

    CAS  PubMed  Google Scholar 

  24. Kocher MS, Mandiga R, Zurakowski D, Barnewolt C, Kasser JR. J Bone Joint Surg Am 2004;86(8):1629–1635.

    PubMed  Google Scholar 

  25. Caird MS, Flynn JM, Leung YL, Millman JE, D’Italia JG et al. J Bone Joint Surg Am 2006;88(6):1251–1257.

    Article  PubMed  Google Scholar 

  26. Zurakowski D, Kasser JR. J Bone Joint Surg Am 1999: 81(12): 1662–1670.

    PubMed  Google Scholar 

  27. Zawin JK, Hoffer FA, Rand FF, Teele RL. Radiology 1993;187(2):459–463.

    CAS  PubMed  Google Scholar 

  28. Zamzam MM. J Pediatr Orthop B 2006; 15(6):418–422.

    Google Scholar 

  29. Miralles M, Gonzalez G, Pulpeiro JR, Millán JM, Gordillo I, Serrano C et al. Am J Roentgenol 1989; 152(3):579–582.

    CAS  Google Scholar 

  30. Gordon JE, Huang M, Dobbs M, Luhmann SJ, Szymanski DA et al. J Pediatr Orthop 2002; 22(3):312–316.

    Article  PubMed  Google Scholar 

  31. Asmar BI. Infect Dis Clin North Am 1992; 6(1): 117–132.

    CAS  PubMed  Google Scholar 

  32. Caksen H, Oztürk MK, Uzüm K, Yüksel S, Ustünbaş HB et al. Pediatr Int 2000; 42(5): 534–540.

    Article  CAS  PubMed  Google Scholar 

  33. Perlman MH, Patzakis MJ, Kumar PJ, Holtom P. J Pediatr Orthop 2000; 20(1): 40–43.

    Article  CAS  PubMed  Google Scholar 

  34. Wang CL, Wang SM, Yang YJ, Tsai CH, Liu CC. J Microbiol Immunol Infect 2003; 36(1): 41–46.

    PubMed  Google Scholar 

  35. Zucker MI, Yao L. West J Med 1992; 156(3): 297–298.

    CAS  PubMed  Google Scholar 

  36. Bonakdar-pour A, Gaines VD. Orthop Clin North Am 1983; 14(1): 21–37.

    CAS  PubMed  Google Scholar 

  37. Jaramillo D, Treves ST, Kasser JR, Harper M, Sundel R et al. Am J Roentgenol 1995; 165(2): 399–403.

    CAS  Google Scholar 

  38. Gold R. Pediatr Infect Dis J 1995; 14(6): 555.

    Article  CAS  PubMed  Google Scholar 

  39. Duszynski DO, Kuhn JP, Afshani E, Riddlesberger MM Jr. Radiology 1975; 117(2): 337–340.

    CAS  PubMed  Google Scholar 

  40. Gelfand MJ, Silberstein EB. JAMA 1977;237(3): 245–257.

    Article  CAS  PubMed  Google Scholar 

  41. Hankins JH, Flowers WM, Jr. J Miss State Med Assoc 1978; 19(1):10–12.

    CAS  PubMed  Google Scholar 

  42. Nelson HT, Taylor A. Eur J Nucl Med 1980; 5(3):267–269.

    Article  CAS  PubMed  Google Scholar 

  43. Erasmie U, Hirsch G. Z Kinderchir 1981; 32(4): 360–366.

    CAS  PubMed  Google Scholar 

  44. McAndrew PT, Clark C. BMJ 1998; 316(7125): 147.

    Google Scholar 

  45. Middleton MS. Am J Roentgenol 1988; 151(3): 612–613.

    CAS  Google Scholar 

  46. Sullivan DC, Rosenfield NS, Ogden J, Gottschalk A. Radiology 1980; 135(3): 731–736.

    CAS  PubMed  Google Scholar 

  47. Wald ER, Mirro R, Gartner JC. Clin Pediatr (Phila) 1980; 19(9): 597–601.

    Article  CAS  Google Scholar 

  48. Jones DC, Cady RB. J Bone Joint Surg Br 1981; 63-B(3): 376–378.

    CAS  PubMed  Google Scholar 

  49. Berkowitz ID, Wenzel W. Am J Dis Child 1980; 134(9): 828–830.

    CAS  PubMed  Google Scholar 

  50. Handmaker H. Radiology 1980;135(3): 787–789.

    CAS  PubMed  Google Scholar 

  51. Barron BJ, Dhekne RD. Clin Nucl Med 1984; 9(7): 392–393.

    Article  CAS  PubMed  Google Scholar 

  52. Park HM, Rothschild PA, Kernek CB. Am J Roentgenol 1985; 145(5): 1079–1084.

    CAS  Google Scholar 

  53. Kälicke T, Schmitz A, Risse JH, Arens S, Keller E, Hansis M et al. Eur J Nucl Med 2000; 27(5):524–528.

    Article  PubMed  Google Scholar 

  54. Stumpe KD, Dazzi H, Schaffner A, von Schulthess GK. Eur J Nucl Med 2000;27(7): 822–832.

    Article  CAS  PubMed  Google Scholar 

  55. Modic MT, Pflanze W, Feiglin DH, Belhobek G. Radiol Clin North Am 1986; 24(2): 247–258.

    CAS  PubMed  Google Scholar 

  56. Unger E, Moldofsky P, Gatenby R, Hartz W, Broder G. Am J Roentgenol 1988; 150(3): 605–610.

    CAS  Google Scholar 

  57. Morrison WB, Schweitzer ME, Bock GW, Mitchell DG, Hume EL, Pathria MN et al. Radiology 1993; 189(1): 251–257.

    CAS  PubMed  Google Scholar 

  58. Fletcher BD, Scoles PV, Nelson AD. Radiology 1984; 150(1): 57–60.

    CAS  PubMed  Google Scholar 

  59. Berquist TH, Brown ML, Fitzgerald RH Jr, May GR. Magn Reson Imaging 1985; 3(3): 219–230.

    Article  CAS  PubMed  Google Scholar 

  60. Dangman BC, Hoffer FA, Rand FF, O’Rourke EJ. Radiology 1992; 182(3): 743–747.

    CAS  PubMed  Google Scholar 

  61. Mazur JM, Ross G, Cummings J, Hahn GA Jr, McCluskey WP. J Pediatr Orthop 1995; 15(2): 144–147.

    CAS  PubMed  Google Scholar 

  62. Mentzel HJ, Kentouche K, Sauner D, Fleischmann C, Vogt S, Gottschild D et al. Eur Radiol 2004; 14(12): 2297–2302.

    Article  PubMed  Google Scholar 

  63. Laffan EE, O’Connor R, Ryan SP, Donoghue VB. Pediatr Radiol 2004 Jun;34(6):472–480.

    Article  PubMed  Google Scholar 

  64. Darge K, Jaramillo D, Siegel MJ. Whole-body MRI in children: Current status and future applications. Eur J Radiol 2008; 68(2): 289–298.

    Article  PubMed  Google Scholar 

  65. Capitanio MA, Kirkpatrick JA. Am J Roentgenol Radium Ther Nucl Med 1970; 108(3): 488–496.

    CAS  PubMed  Google Scholar 

  66. Wenaden AE, Szyszko TA, Saifuddin A. Clin Radiol 2005;60(4):439–456.

    Article  CAS  PubMed  Google Scholar 

  67. Kaye JJ. Pediatr Ann 1976; 5(1): 11–31.

    CAS  PubMed  Google Scholar 

  68. Ash JM, Gilday DL. J Nucl Med 1980; 21(5): 417–420.

    CAS  PubMed  Google Scholar 

  69. Bressler EL, Conway JJ, Weiss SC. Radiology 1984; 152(3): 685–688.

    CAS  PubMed  Google Scholar 

  70. Handmaker H, Leonards R. Semin Nucl Med 1976; 6(1): 95–105.

    Article  CAS  PubMed  Google Scholar 

  71. Connolly LP, Connolly SA, Drubach LA, Jaramillo D, Treves ST. J Acute Nucl Med 2002; 43(10): 1310–1316.

    Google Scholar 

  72. Deysine M Robinson R Rafkin H Teicher I Silver L et al. Ann Surg 1974; 180(6): 897–901.

    Article  CAS  PubMed  Google Scholar 

  73. Stumpe KD, Strobel K. Q J Nucl Med Mol Imaging 2006;50(2):31–42.

    Google Scholar 

  74. Kaiser S, Jorulf H, Hirsch G. Acta Radiol 1998 Sep;39(5):523–531.

    CAS  PubMed  Google Scholar 

  75. Abiri MM, Kirpekar M, Ablow RC. Radiology 1989; 172(2):509–511.

    CAS  PubMed  Google Scholar 

  76. Azam Q, Ahmad I, Abbas M, Syed A, Haque F. Acta Orthop Belg 2005; 71(5):590–596.

    PubMed  Google Scholar 

  77. Riebel TW, Nasir R, Nazarenko O. Radiology; 1996; 26(4):291–297.

    CAS  Google Scholar 

  78. Nath AK, Sethu AU. Br J Radiol 1992; 65(776):649–652.

    Article  CAS  PubMed  Google Scholar 

  79. Kuhn JP, Berger PE. Radiology 1979;130(2):503–506.

    CAS  PubMed  Google Scholar 

  80. Gold RH Hawkins RA Katz RD. Am J Roentgenol 1991;157(2):365–370.

    CAS  Google Scholar 

  81. Pretorius ES, Fishman EK. Radiol Clin North Am 1999; 37(5):953–974.

    Article  CAS  PubMed  Google Scholar 

  82. Karmazyn B, Loder RT, Kleiman MB, Buckwalter KA, Siddiqui A, Ying J et al. J Pediatr Orthop 2007;27(2): 158–164.

    PubMed  Google Scholar 

  83. Connolly SA, Connolly LP, Drubach LA, Zurakowski D, Jaramillo D. Am J Roentgenol 2007 Oct;189(4):867–872.

    Article  Google Scholar 

  84. Lopes TD, Reinus WR, Wilson AJ. Invest Radiol 1997; 32(1):51–58.

    Article  CAS  PubMed  Google Scholar 

  85. Wing VW, Jeffrey RB Jr, Federle MP, Helms CA, Trafton P. Radiology 1985; 154(1) :171–174.

    CAS  PubMed  Google Scholar 

  86. Tumeh SS, Aliabadi P, Seltzer SE, Weissman BN, McNeil BJ. Clin Nucl Med 1988; 13(10): 710–715.

    Article  CAS  PubMed  Google Scholar 

  87. Termaat MF, Raijmakers PG, Scholten HJ, Bakker FC, Patka P et al. J Bone Joint Surg Am 2005; 87(11):2464–2471

    Article  CAS  PubMed  Google Scholar 

  88. Prandini N, Lazzeri E, Rossi B, Erba P, Parisella MG et al. Nucl Med Commun 2006; 27(8):633–644.

    Article  PubMed  Google Scholar 

  89. Guhlmann A, Brecht-Krauss D, Suger G, Glatting G, Kotzerke J, Kinzl L et al. Radiology 1998; 206(3):749–754.

    CAS  PubMed  Google Scholar 

  90. Zhuang H, Duarte PS, Pourdehand M, Shnier D, Alavi A. Clin Nucl Med 2000; 25(4):281–284.

    Article  CAS  PubMed  Google Scholar 

  91. Kälicke T, Schmitz A, Risse JH, Arens S, Keller E, Hansis M et al. Eur J Nucl Med 2000; 27(5):524–528.

    Article  PubMed  Google Scholar 

  92. Meller J, Köster G, Liersch T, Siefker U, Lehmann K, Meyer I et al. Eur J Nucl Med Mol Imaging 2002; 29(1):53–56.

    Article  CAS  PubMed  Google Scholar 

  93. Lee SK, Suh KJ, Kim YW, Ryeom HK, Kim YS, Lee JM et al. Radiology 1999;211(2):459–465.

    CAS  PubMed  Google Scholar 

  94. Kwack KS, Cho JH, Lee JH, Cho JH, Oh KK et al. Am J Roentgenol 2007; Aug;189(2):437–445.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Radiology, Indiana University School of Medicine, Riley Hospital for Children, 702 Barnhill Drive, Room 1053, 46202, Indianapolis, IN, USA

    Boaz Karmazyn (Assistant Professor of Radiology)

  2. Department of Radiology, Texas Health Presbyterian Hospital of Plano, 75093, Plano, TX, USA

    John Y. Kim MD (Chairman)

  3. Department of Radiology, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, 19104, Philadelphia, USA

    Diego Jaramillo MD, MPH (Radiologist-in-Chief, Professor of Radiology)

Authors
  1. Boaz Karmazyn
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  2. John Y. Kim MD
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  3. Diego Jaramillo MD, MPH
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Correspondence to Boaz Karmazyn .

Editor information

Editors and Affiliations

  1. Dept. Radiology, Miami Children's Hospital, SW 114 Street 7420, Miami , 33156, U.S.A.

    L. Santiago Medina

  2. Dept. Radiology, Riley Children's Hospital, Barnhill Drive 702 , Indianapolis, 46202-5200, U.S.A.

    Kimberly E. Applegate

  3. Harborview Medical Center, University of Washington, Ninth Avenue 325, Seattle, 98104-2499, U.S.A.

    C. Craig Blackmore

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Karmazyn, B., Kim, J.Y., Jaramillo, D. (2010). Imaging of Hematogenous Osteomyelitis and Septic Arthritis in Children. In: Medina, L., Applegate, K., Blackmore, C. (eds) Evidence-Based Imaging in Pediatrics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0922-0_17

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