Keywords:
Performed at one institution, Observational, Prospective, Inflammation, Diagnostic procedure, CT, Conventional radiography, Paediatric, Bones, Musculoskeletal
Authors:
N. Lysenko1, O. Sharmazanova2, I. Voronzhev1, V. Bayev1; 1Kharkov/UA, 2Kharkiv/UA
DOI:
10.26044/ecr2020/C-04247
Methods and materials
Clinical laboratory and x-ray findings of 12 children aged 1-14 years (mean age 6.4 ± 2.6 year) admitted to the orthopedic and surgical in-patient departments were analyzed. The patients were hospitalized because of the suspected bone inflammation. They presented pain in certain portion of limb, redness, soft tissue swelling, limb dysfunction (fig.1); 6 patients injured limb in close history before the symptoms appeared. The acute onset of the disease occurred in 2 (16.7 %) patients with general intoxication phenomena, pain in the affected bone. The rest 10 (83.3 %) patients developed moderate disease, the pain was less intense, the symptoms of intoxication were not pronounced. The pathological changes were observed in the following locations: femoral shaft - 2 patients, tibia - 6, distal radius epi-metaphysis - 1, proximal epi-metaphysis of the humerus - 1, short cancellous bones (sphenoid bone and cuboid bone of the foot) - 2 patients.
Data acquisition. All patients underwent clinical laboratory, radiological examination of the affected region of the skeleton, 8 patients were examined with computed tomography (CT) to define more accurately the changes in bone structure and the generalization of the pathological process. X-ray examination in standard projections was performed on the digital x-ray unit, CT scan was done using a 16-slice CT scanner. The follow-up radiological examination was performed 1-3-6 months and 1-1.5 years after the beginning of the pathological process, depending on the clinical situation and the course of the disease.