Osteomyelitis physical examination
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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
Physical Examination
Vital Signs
Acute Osteomyelitis
- Swelling
- Redness
- Tenderness
Chronic Osteomyelitis
Common Locations
- Hematogenous Osteomyelitis:
- Long bone metaphysis (typically tibia and femur) in children
- Presence of transphyseal blood vessels and an immature growth plate in infants increase likelihood of infection spreading to epiphysis and joint cavity.
- Lumbar vertebrae in elderly patients
- Vertebral osteomytelitis involves adjacent vertebrae and intervertebral disc
- Contiguous-focus Osteomyleitis:
- Hip, knee, elbow due to prosthesis infection
- Long bones due to fracture
- Osteomyelitis Secondary to Vascular Insufficiency:
- Toes, metatarsal heads, and tarsal bones
Gallery
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Osteomyelitis. With permission from Dermatology Atlas.[1]
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Osteomyelitis. With permission from Dermatology Atlas.[1]
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Osteomyelitis. With permission from Dermatology Atlas.[1]