FINE-NEEDLE BONE-BIOPSY TO DIAGNOSE OSTEOMYELITIS

被引:69
作者
HOWARD, CB [1 ]
EINHORN, M [1 ]
DAGAN, R [1 ]
YAGUPSKI, P [1 ]
PORAT, S [1 ]
机构
[1] HADASSAH UNIV HOSP,PAEDIAT ORTHOPAED UNIT,JERUSALEM 91120,ISRAEL
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1994年 / 76B卷 / 02期
关键词
D O I
10.1302/0301-620X.76B2.8113300
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In 30 patients in whom osteomyelitis was suspected fine-needle bone biopsies (FNBB) were taken at the same time as bone was aspirated for bacteriological examination. The diagnosis of osteomyelitis was eventually confirmed in 15 patients; the other 15 had myositis (3), arthritis (3), trauma (2), microgeodic phalangeal syndrome (2), haematoma in a nonossifying fibroma (1), and Ewing's sarcoma (1). In three patients no pathology was found. The temperature, WBC and ESR at presentation did not help to distinguish osteomyelitis from other conditions. FNBB, however, proved to be a useful additional investigation with a sensitivity for osteomyelitis of 87% and a specificity of 93 %.
引用
收藏
页码:311 / 314
页数:4
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