Acute Primary Hematogenous Osteomyelitis in the Epiphysis of the Distal Tibia: A Case Report With Review of the Literature

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• 作者：Hyun-Jung Hwang ; MD ; Woong-Kyo Jeong ; MD ; PhD ; Dae-Hee Lee ; MD ; PhD ; Soon-Hyuck Lee ; MD ; PhD ; ^{soonlee@korea.ac.kr" class="auth_mail" title="E-mail the corresponding author}
• 关键词：4
• 刊名：The Journal of Foot and Ankle Surgery
• 出版年：2016
• 出版时间：May-June 2016
• 年：2016
• 卷：55
• 期：3
• 页码：600-604
• 全文大小：1303 K

文摘

Osteomyelitis originating in the epiphysis of the long bones is quite rare and is usually found at either the distal femur or the proximal tibia. We report the case of a 12-year-old male with epiphyseal osteomyelitis that had developed in the distal tibia. To the best of our knowledge, this is the first published case report. The patient's history of a trauma that resembled an ankle sprain had delayed the diagnosis and subsequently led him to develop septic arthritis. The ankle is a common site of simple trauma; however, epiphyseal osteomyelitis is rare at this site. Therefore, if the symptoms continue or worsen after trauma, the clinician should check the affected site and take a more aggressive approach to make an early diagnosis.