Document Detail


Hematogenous osteomyelitis of the calcaneus in children.
MedLine Citation:
PMID:  11675546     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fourteen children (average 9 years) with primary hematogenous osteomyelitis of the calcaneus are reported. Four were seen early and 10 late. Clinical presentation was dramatic, with fever, pain, swelling, and fluctuance around the foot and ankle. The diagnosis was missed initially in 8 cases because the patients were treated for septic arthritis of the ankle, cellulitis, and subcutaneous abscess. The 4 patients seen early healed well, with no complications. The 10 patients seen late had chronic osteomyelitis with growth arrest; shortening of the foot; limb length deficiency; fusion of subtalar, calcaneocuboid, and ankle joints; calcaneus and equinus deformity; avascular necrosis of the talus; and phalangeal loss. Hospital stay was prolonged in 4 patients. Total calcanectomy (3 patients) and talectomy (2 patients) with heel pad preservation were useful salvage procedures avoiding ablation of the limb in chronic cases.
Authors:
M N Rasool
Related Documents :
22128616 - An atypical assessment of ebstein's anomaly in an 86-year-old man.
8195656 - Assessment of chemical lumbar sympathectomy in critical limb ischaemia using thermal im...
1072546 - Arterial embolism in the upper limb.
2740266 - Lower extremity telescopic orthosis for immediate fitting in paraplegia.
11135386 - Urodynamic and rectomanometric findings in patients with spinal cord injury.
22404236 - Association between vitamin c deficiency and dialysis modalities.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  21     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2001 Nov-Dec
Date Detail:
Created Date:  2001-10-24     Completed Date:  2001-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  738-43     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Natal, Nelson R. Mandela School of Medicine, Durban, South Africa. Katia.Med.Und.Ac.Za
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Calcaneus / microbiology,  pathology*,  surgery
Child
Diagnosis, Differential
Female
Humans
Male
Osteomyelitis / complications*,  diagnosis,  microbiology,  surgery
Postoperative Complications
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Ankle joint complex mobility of children 7 to 14 years old.
Next Document:  Obturator internus muscle abscess in children.