Patellar osteomyelitis. A diagnostic challenge

Authors

  • Nuria Pérez-Jimeno Servicio de Cirugía Ortopédica y Traumatología Hospital Obispo Polanco Avenida Ruiz Jarabo, s/n, 44002, Teruel, España
  • Victoria-Eugenia Gómez-Palacio Servicio de Cirugía Ortopédica y Traumatología Hospital Universitario Miguel Servet Paseo Isabel la Católica, 1-3, 50009 Zaragoza, España
  • Jorge Gil-Albarova Servicio de Cirugía Ortopédica y Traumatología Hospital Universitario Miguel Servet Paseo Isabel la Católica, 1-3, 50009 Zaragoza, España Facultad de Medicina. Universidad de Zaragoza Calle Domingo Miral, s/n, 50009 Zaragoza, España

DOI:

https://doi.org/10.31053/1853.0605.v75.n3.18257

Keywords:

child, diagnosis, patellar osteomyelitis, intraarticular drainage

Abstract

Osteomyelitis is a rare infection that is considered to be a children’s disease. Diagnosis is frequently delayed because it is an uncommon pathology and is presented in various ways. After its diagnosis and treatment, the result is favourable in children. We present a clinical case that shows difficulties in its diagnosis. A high index of suspicion should be addressed for early recognition.

Downloads

Download data is not yet available.

References

Roy DR. Osteomyelitis of the patella. Clin Orthop Relat Res 2001;389: 30–34.

Angella JJ. Osteomyelitis of the patella. Amer J Dis Child 1967;113: 590–593.

Gil-Albarova J, Gómez-Palacio VE, Herrera A. Hematogenous osteomielitis of the patella. J Pediatr Orthop B 2012;21: 411-414.

Björkström S, Goldie IF. A study of the arterial supply of the patella in the normal state, in chondromalacia patellae and in osteoarthrosis. Acta Orthop Scand 1980;51: 63–70.

Scapinelli R. Blood supply of the human patella: its relation to ischaemic necrosis after fracture. J Bone Joint Surg Br 1967;3: 563–570.

Roy DR, Greene WB, Gamble JG. Osteomyelitis of the patella in children. J Pediatr Orthop 1991;11: 364–366.

Cahill BR. Nontraumatic osteomyelitis of the patella. Clin Orthop Relat Res 1978;132: 177–179.

Vanibrouks JV, Martens M, Verhelst M, Mulier JC. Haematogenous osteomyelitis of the patella: report of three cases. Acta Orthop Scand 1976;47: 566–569.

Choi HR. Patellar osteomyelitis presenting as prepatellar bursitis. The Knee 2007;14: 333–335.

Guerci A, Mainard D, Thiery D. Acute haematogenous osteomyelitis of the patella revealed by a pathological fracture in multiple myeloma. J Internal Med 1992;231: 87–88.

Kankate RK, Selvan TP. Prymary haematogenous osteomyelitis of the patella: a rare cause for anterior knee pain in an adult. Postgrad Med J 2000;76: 707–709.

Adcock PM, Marshall GS. Osteomyelitis of the axial skeleton and the flat and small bones. Semin Pediatr Infect Dis 1997;8: 234–241.

Azolulay R, Alison M, Sekkal A, Sebag G, Adamsbaum C. Imagerie des infections ostéoarticulaires de l’enfant. Arch Pediatr 2007;14: 113–121.

Published

2018-09-02

How to Cite

1.
Pérez-Jimeno N, Gómez-Palacio V-E, Gil-Albarova J. Patellar osteomyelitis. A diagnostic challenge. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2018 Sep. 2 [cited 2024 Jul. 17];75(3):221-5. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/18257

Issue

Section

Case Report