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Osteomyelitis: detection with US.
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1989
Year
Medical UltrasoundDiagnosisPathologySurgeryDisease DetectionOrthopaedic SurgeryOsteomyelitisBone DiseaseSoft-tissue Fluid CollectionsSurgical PathologyRadiologyHealth SciencesHistopathologyMusculoskeletal UltrasoundUltrasoundClinical MicrobiologyInflammatory Exudate DissectingBone ImagingAbnormal Fluid AdjacentMedicine
Osteomyelitis is suspected when inflammatory exudate fluid accumulates subperiosteally or extraperiosteally around bone. The study evaluated the role of ultrasound in detecting osteomyelitis in 48 clinically suspected patients. Ultrasound diagnosis was defined by fluid directly contacting bone without intervening soft tissue. Among 48 suspected patients, 12 had osteomyelitis, and ultrasound identified abnormal fluid adjacent to bone in 10 of them, with 8 showing soft‑tissue fluid collections and the rest exhibiting no abnormalities or cellulitis, indicating ultrasound’s usefulness.
To evaluate the role of ultrasound (US) in the detection of osteomyelitis, the authors prospectively studied 48 patients clinically suspected of having osteomyelitis. A sonographic diagnosis was made if fluid was seen directly in contact with bone, without intervening soft tissues. Twelve of the 48 patients were subsequently found to have osteomyelitis. In 10 of them, US demonstrated abnormal fluid adjacent to the bone. This fluid was thought to represent an inflammatory exudate dissecting in a subperiosteal and/or extraperiosteal location. Eight of the 48 patients had soft-tissue fluid collections. The rest of the patients either had no abnormalities or had cellulitis. The authors conclude that US can be useful in the detection of osteomyelitis.