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...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2016-05, Vol.55 (3), p.600-604
Main Authors: Hwang, Hyun-Jung, MD, Jeong, Woong-Kyo, MD, PhD, Lee, Dae-Hee, MD, PhD, Lee, Soon-Hyuck, MD, PhD
Format: Article
Language:English
Subjects:
acute hematogenous osteomyelitis
Ankle Injuries - complications
Ankle Injuries - diagnostic imaging
Arthritis, Infectious - diagnostic imaging
Arthritis, Infectious - surgery
Arthroscopy - methods
Biopsy, Needle
Child
Delayed Diagnosis
Disease Progression
distal tibia
Epiphyses - diagnostic imaging
Epiphyses - pathology
epiphysis
Follow-Up Studies
Humans
Immunohistochemistry
Injury Severity Score
Magnetic Resonance Imaging - methods
Male
Orthopedics
Osteomyelitis - diagnostic imaging
Osteomyelitis - pathology
Osteomyelitis - surgery
pediatric
Radiography - methods
Risk Assessment
Soccer - injuries
Tibia - diagnostic imaging
Tibia - pathology
Time Factors
Treatment Outcome
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Summary: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.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2016.01.003