Document Detail

Hematogenous osteomyelitis of the calcaneus in children.
MedLine Citation:
PMID:  11675546     Owner:  NLM     Status:  MEDLINE    
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.
M N Rasool
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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    
Department of Orthopaedic Surgery, University of Natal, Nelson R. Mandela School of Medicine, Durban, South Africa. Katia.Med.Und.Ac.Za
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MeSH Terms
Calcaneus / microbiology,  pathology*,  surgery
Diagnosis, Differential
Osteomyelitis / complications*,  diagnosis,  microbiology,  surgery
Postoperative Complications
Retrospective Studies
Treatment Outcome

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

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