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Osteomyelitis and beyond

R Paul Guillerman1

  • 1E. B. Singleton Department of Pediatric Radiology, Texas Children's Hospital, 6701 Fannin St., Ste. 470, Houston, TX 77030, USA. rpguille@texaschildrens.org

Pediatric Radiology
|March 13, 2013
PubMed

Insights

Pediatric musculoskeletal infections require prompt diagnosis. Magnetic resonance imaging (MRI) is the preferred method for precisely locating infections like osteomyelitis and septic arthritis without radiation.

Area of Science:

  • Pediatric Radiology
  • Musculoskeletal Imaging
  • Infectious Diseases

Background:

  • Musculoskeletal infections in children cause significant morbidity.
  • Nonspecific symptoms necessitate advanced imaging for diagnosis and localization.
  • Emergence of invasive pathogens like community-acquired Staphylococcus aureus heightens the need for accurate diagnostics.

Purpose of the Study:

  • To review the imaging characteristics of pediatric musculoskeletal infections.
  • To highlight the role of MRI in definitive evaluation.
  • To differentiate infections from mimics.

Main Methods:

  • Review of imaging modalities including radiography, bone scintigraphy, ultrasound (US), and magnetic resonance imaging (MRI).
  • Focus on MRI's capabilities in assessing osseous, articular, and muscular structures.
  • Discussion of imaging features for osteomyelitis, septic arthritis, and pyomyositis.

Main Results:

  • MRI is the preferred modality for definitive evaluation of pediatric musculoskeletal infections.
  • MRI offers comprehensive assessment without ionizing radiation.
  • Imaging characteristics of specific infections and their mimics are detailed.

Conclusions:

  • Prompt and precise localization of pediatric musculoskeletal infections is crucial.
  • MRI provides superior diagnostic value for these conditions.
  • Understanding imaging features aids in differentiating true infections from other pathologies.

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