Osteomyelitis physical examination

	Osteomyelitis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]; Nate Michalak, B.A.

Overview

Patients with chronic osteomyelitis may present with acute signs in addition to the following:

Sequestra
Draining sinus tract
Thickened periosteum
Unhealing ulcers, particularly those over bony prominences or any ulcer in which bone is palpable by blunt probe
Pathological fractures
Brodie's abscess
Unstable joint in patients with prothesis infection

Presence of transphyseal blood vessels and an immature growth plate in infants increase likelihood of infection spreading to epiphysis and joint cavity.