Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis
Objective: to evaluate the informativeness of ultrasonography and radiography in the early diagnosis of acute hematogenous osteomyelitis in children.Material and methods. Children (from 3 weeks to 1 year old) with suspected acute hematogenous osteomyelitis (n = 40) were examined and X-rays and ultra...
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Luchevaya Diagnostika, LLC
2019-01-01
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| Series: | Вестник рентгенологии и радиологии |
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| Online Access: | https://www.russianradiology.ru/jour/article/view/399 |
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| author | S. A. Polkovnikova V. D. Zavadovskaya V. M. Mashkov |
| author_facet | S. A. Polkovnikova V. D. Zavadovskaya V. M. Mashkov |
| author_sort | S. A. Polkovnikova |
| collection | DOAJ |
| description | Objective: to evaluate the informativeness of ultrasonography and radiography in the early diagnosis of acute hematogenous osteomyelitis in children.Material and methods. Children (from 3 weeks to 1 year old) with suspected acute hematogenous osteomyelitis (n = 40) were examined and X-rays and ultrasound scan of the affected skeleton were performed. 39 (97.5%) of children underwent surgery.Results. Radiography in the first 3 days of the disease gave only false-negative results. On the 5th-7th day of the disease, the fuzziness of the outline of the growth zone, the uneven contour of the ossification core, was found, which resulted in 33% sensitivity. X-ray symptoms of bone destruction were obtained in the second week of the disease in 83% of the subjects.The results of ultrasound examination in the first 3 days of the disease exceeded the radiographic parameters and corresponded to 66.7% of sensitivity based on the definition of increased vascularization of edematous parasal soft tissues, epiphyseal cartilage. On the 5th-7th days of the disease, local hyperechoic areas were found in the epiphyseal cartilage, with additional color signals around it, an uneven contour of the ossification nucleus, which almost equalized the sensitivity parameters of X-ray and ultrasound studies (83.33% and 88.8%, respectively).The most sensitive, specific and accurate are the studies in the third week from the onset of the disease, in determining the sites of destruction in the metaphysis and the nucleus of ossification of the epiphysis, both in X-ray and ultrasound studies.Conclusion. X-ray and ultrasound studies should be considered complementary modalities for obtaining optimally complete information about the morphological substrate of the pathological inflammatory process. |
| format | Article |
| id | doaj-art-90aa76d64bd844bcaf2166ca6144fc75 |
| institution | Kabale University |
| issn | 0042-4676 2619-0478 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj-art-90aa76d64bd844bcaf2166ca6144fc752025-08-20T03:58:45ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782019-01-0199631932510.20862/0042-4676-2018-99-6-319-325265Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitisS. A. Polkovnikova0V. D. Zavadovskaya1V. M. Mashkov2Emergency Hospital No. 2Siberian State Medical University, Ministry of Health of the Russian FederationSiberian State Medical University, Ministry of Health of the Russian FederationObjective: to evaluate the informativeness of ultrasonography and radiography in the early diagnosis of acute hematogenous osteomyelitis in children.Material and methods. Children (from 3 weeks to 1 year old) with suspected acute hematogenous osteomyelitis (n = 40) were examined and X-rays and ultrasound scan of the affected skeleton were performed. 39 (97.5%) of children underwent surgery.Results. Radiography in the first 3 days of the disease gave only false-negative results. On the 5th-7th day of the disease, the fuzziness of the outline of the growth zone, the uneven contour of the ossification core, was found, which resulted in 33% sensitivity. X-ray symptoms of bone destruction were obtained in the second week of the disease in 83% of the subjects.The results of ultrasound examination in the first 3 days of the disease exceeded the radiographic parameters and corresponded to 66.7% of sensitivity based on the definition of increased vascularization of edematous parasal soft tissues, epiphyseal cartilage. On the 5th-7th days of the disease, local hyperechoic areas were found in the epiphyseal cartilage, with additional color signals around it, an uneven contour of the ossification nucleus, which almost equalized the sensitivity parameters of X-ray and ultrasound studies (83.33% and 88.8%, respectively).The most sensitive, specific and accurate are the studies in the third week from the onset of the disease, in determining the sites of destruction in the metaphysis and the nucleus of ossification of the epiphysis, both in X-ray and ultrasound studies.Conclusion. X-ray and ultrasound studies should be considered complementary modalities for obtaining optimally complete information about the morphological substrate of the pathological inflammatory process.https://www.russianradiology.ru/jour/article/view/399osteomyelitismusculo-skeletal systemultrasound diagnosticsradiography |
| spellingShingle | S. A. Polkovnikova V. D. Zavadovskaya V. M. Mashkov Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis Вестник рентгенологии и радиологии osteomyelitis musculo-skeletal system ultrasound diagnostics radiography |
| title | Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis |
| title_full | Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis |
| title_fullStr | Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis |
| title_full_unstemmed | Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis |
| title_short | Diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis |
| title_sort | diagnostic value of radiography and ultrasound for suspected acute hematogenous osteomyelitis |
| topic | osteomyelitis musculo-skeletal system ultrasound diagnostics radiography |
| url | https://www.russianradiology.ru/jour/article/view/399 |
| work_keys_str_mv | AT sapolkovnikova diagnosticvalueofradiographyandultrasoundforsuspectedacutehematogenousosteomyelitis AT vdzavadovskaya diagnosticvalueofradiographyandultrasoundforsuspectedacutehematogenousosteomyelitis AT vmmashkov diagnosticvalueofradiographyandultrasoundforsuspectedacutehematogenousosteomyelitis |