OSTEOMYELITIS OF THE CALCANEUM

被引:31
作者
WANG, EHM [1 ]
SIMPSON, S [1 ]
BENNET, GC [1 ]
机构
[1] ROYAL HOSP SICK CHILDREN, DEPT ORTHOPAED, GLASGOW G3 8SJ, SCOTLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1992年 / 74卷 / 06期
关键词
D O I
10.1302/0301-620X.74B6.1447256
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
We reviewed 52 cases of osteomyelitis of the calcaneum. The clinical symptoms and signs were well defined, but different and less dramatic than those of long-bone osteomyelitis. Blood cultures were positive in 41% of cases and tissue cultures in 91%. Routine haematological tests were of little value, and radiological changes were often delayed, and were absent in 12%. With early diagnosis, treatment with antibiotics alone was usually effective, but complications and chronic disease were more likely if there was delay. Early diagnosis is the key to successful treatment. We describe a new physical sign and consider that diagnosis is almost always possible by clinical methods.
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页码:906 / 909
页数:4
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