Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review
Abstract Background Transphyseal hematogenous osteomyelitis(THO) has been considered a potential cause of severe sequelae due to its damage to the growth plate. It has been reported that growth disturbance would take place if the area of involvement exceeds 7%. However, the growth plate seems to hav...
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BMC
2025-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08475-5 |
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| author | Peng Ning Shuting Lin Zhixin Yang Tianjing Liu |
| author_facet | Peng Ning Shuting Lin Zhixin Yang Tianjing Liu |
| author_sort | Peng Ning |
| collection | DOAJ |
| description | Abstract Background Transphyseal hematogenous osteomyelitis(THO) has been considered a potential cause of severe sequelae due to its damage to the growth plate. It has been reported that growth disturbance would take place if the area of involvement exceeds 7%. However, the growth plate seems to have more potential to recover and regain normal function. Case presentation We report three cases of hematogenous osteomyelitis(HO) in children (ages 9 weeks, 4 years, and 13 years respectively ) with significant physeal involvement. All patients underwent surgical debridement and antibiotic therapy. Follow-up assessments demonstrated full recovery, with normal knee movements, no pain and equal limb length. Complete recovery of the physeal plate morphology and normal subsequent development were observed. Conclusions THO in children may have the chance of complete recovery after proper treatment, suggesting that the physeal plate has a great potential for self-recovery. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-65311fce1b0f4986921518fd876d65d4 |
| institution | DOAJ |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-65311fce1b0f4986921518fd876d65d42025-08-20T03:01:54ZengBMCBMC Musculoskeletal Disorders1471-24742025-03-012611610.1186/s12891-025-08475-5Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature reviewPeng Ning0Shuting Lin1Zhixin Yang2Tianjing Liu3Department of Pediatric Orthopedics, Shengjing Hospital of China Medical UniversityDepartment of Pediatric Orthopedics, Shengjing Hospital of China Medical UniversityDepartment of Pediatric Orthopedics, Shengjing Hospital of China Medical UniversityDepartment of Pediatric Orthopedics, Shengjing Hospital of China Medical UniversityAbstract Background Transphyseal hematogenous osteomyelitis(THO) has been considered a potential cause of severe sequelae due to its damage to the growth plate. It has been reported that growth disturbance would take place if the area of involvement exceeds 7%. However, the growth plate seems to have more potential to recover and regain normal function. Case presentation We report three cases of hematogenous osteomyelitis(HO) in children (ages 9 weeks, 4 years, and 13 years respectively ) with significant physeal involvement. All patients underwent surgical debridement and antibiotic therapy. Follow-up assessments demonstrated full recovery, with normal knee movements, no pain and equal limb length. Complete recovery of the physeal plate morphology and normal subsequent development were observed. Conclusions THO in children may have the chance of complete recovery after proper treatment, suggesting that the physeal plate has a great potential for self-recovery. Clinical trial number Not applicable.https://doi.org/10.1186/s12891-025-08475-5Physeal plateTransphyseal hematogenous osteomyelitisPrognosisChildrenOsteomyelitis |
| spellingShingle | Peng Ning Shuting Lin Zhixin Yang Tianjing Liu Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review BMC Musculoskeletal Disorders Physeal plate Transphyseal hematogenous osteomyelitis Prognosis Children Osteomyelitis |
| title | Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review |
| title_full | Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review |
| title_fullStr | Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review |
| title_full_unstemmed | Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review |
| title_short | Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review |
| title_sort | prognosis of transphyseal hematogenous osteomyelitis in children three case reports and a literature review |
| topic | Physeal plate Transphyseal hematogenous osteomyelitis Prognosis Children Osteomyelitis |
| url | https://doi.org/10.1186/s12891-025-08475-5 |
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