Subperiosteal abscess in a child. Trueta's osteomyelitis hypothesis undermined?

Subperiosteal abscess in a child. Trueta's osteomyelitis hypothesis undermined?

Abstract Subperiosteal abscess formation is almost exclusively seen secondary to underlying hematogenous infected osteomyelitis or secondary as a result of a contagious focus. We present an unusual case of a 9-year-old girl with progressive ankle pain due to an isolated subperiosteal abscess of the...

Full description

Saved in:
Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research Vol. 101; no. 6; pp. 763 - 765
Main Authors: Weenders, S.G.M, Janssen, N.E, Landman, G.W.D, van den Berg, F.P
Format: Journal Article
Language:English
Published: France Elsevier Masson SAS 01-10-2015
Subjects:
Abscess - diagnosis
Abscess - etiology
Abscess - surgery
Child
Children
Debridement - methods
Female
Fibula
Fibula - pathology
Fibula - surgery
Humans
Magnetic Resonance Imaging
Orthopedics
Osteomyelitis
Osteomyelitis - complications
Osteomyelitis - diagnosis
Osteomyelitis - surgery
Pathogenesis
Subperiosteal abscess
Surgery
Osteomyelitis
Fibula
Children
Pathogenesis
Subperiosteal abscess
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Subperiosteal abscess formation is almost exclusively seen secondary to underlying hematogenous infected osteomyelitis or secondary as a result of a contagious focus. We present an unusual case of a 9-year-old girl with progressive ankle pain due to an isolated subperiosteal abscess of the distal fibula without concomitant osteomyelitis. The subperiosteal abscess was most likely caused by hematogenous spread to the periosteal region of the distal fibula located above the highly vascularized metaphysis. Remarkably, there were no signs of osteomyelitis on either MRI or during surgical inspection. She was successfully treated with debridement and antibiotic therapy. We hypothesize that subperiosteal abscess formation near the metaphysis originates in the periosteal region and not from outward extension from the sinusoidal veins in the intrametaphyseal area to the cortex and subperiosteal region.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2015.07.005