Hematogenous Osteomyelitis of the Patella in a Child
作者
Chin-En Chen, Rei-Jahn Juhn
卷期/出版年月
40卷1期 (2007/2)
頁次
51-55
摘要
The early diagnosis of osteomyelitis of the patella in children is difficult due to rarity
of this infection and lack of radiologic signs in the early stage. The authors report a
case of hematogenous osteomyelitis of the patella in an 8-year-old boy and review the
literature. The disease should be highly suspected in a patient with persistent pain
and swelling of the knee that does not respond to conventional management. Surgical
debridement is the treatment of choice when the diagnosis has been delayed or there
is a sequestrum in the image study. The diagnosis should be differentiated with septic
arthritis of the knee. Arthrotomy is not necessary in osteomyelitis of the patella and
may produce infection into the joint.