Delayed Posttraumatic Osteomyelitis in Diabetic Patient
The goal of treatment is to eliminate the draining sinuses and produce a functional limb that is free from pain. The complicated process just described to eradicate a focus of…
Recurrent Postoperative Osteomyelitis
Treatment of chronic osteomyelitis requires removal of all infected, necrotic bone and all metal foreign bodies; debridement of all necrotic soft tissue; and marsupialization of the necrotic, infected bed. Stability…
Direct (Nonhematogenous) Causes of Osteomyelitis (Continued)
ETIOLOGY OF EXOGENOUS OSTEOMYELITIS Exogenous (nonhematogenous) osteomyelitis results from the direct contamination of the bone by the infecting organism. The skin, subcutaneous tissue, and periosteum provide a protective barrier to…
Osteomyelitis after Open Fracture
Although the many exogenous causes of osteomyelitis vary greatly, the resulting bone infections share some common characteristics. The bone becomes infected because the protective skin and periosteal barriers have been…
Direct (Nonhematogenous) Causes of Osteomyelitis
Radiographs of the painful area should be obtained, although radiographic signs are often minimal early in the infection. The earliest radiographic evidence of acute hematogenous osteomyelitis is swelling of soft…
Etiology and Prevalence of Hematogenous Osteomyelitis
ETIOLOGY AND PREVALENCE OF HEMATOGENOUS OSTEOMYELITIS In contrast to direct contamination of the bone from exogenous sources, hematogenous osteomyelitis results when the bone is seeded with bacteria from a distant…
Clinical Manifestations of Hematogenous Osteomyelitis
Clinical manifestations of acute hematogenous osteomyelitis of the spine are more difficult to define. The patient may complain of a vague backache as well as generalized malaise, decreased appetite, and…
Pathogenesis of Hematogenous Osteomyelitis
Except in very young children, the infection rarely extends across the physical barrier of the growth plate. In children younger than 1 year of age, some branches of the metaphyseal…
Septic Joint
Direct trauma to the skin overlying the bursa can seed the fluid in an inflamed, swollen bursa with bacteria. The fluid is an excellent medium for bacterial growth, and the…
Factors That Promote or Delay Bone Healing
Peptide and steroid hormones help regulate fracture healing. Growth hormone, insulin, thyroid hormone, cortisol, and gonadal steroids all have important functions throughout the process of fracture healing; each of these…
