Osteomyelitis: Difference between revisions

Conventional radiography may not visualise pathology in the first 2 weeks of the disease. If the symptoms have lasted <2 weeks, CT or MRI is indicated. If it has lasted more than 2 weeks, radiography is sufficient and will show osteolysis, periosteal reaction, and bone destruction.

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== Management ==

Management is usually conservative, with broad-spectrum IV antibiotics. In refractory cases or cases where there is an abscess, surgery may be necessary.

== Brodie abscess ==

Brodie abscess is a cystic region of pus and necrosis encapsulated by a rim of sclerotic bone. It occurs in the setting of chronic osteomyelitis in the metaphysis of long bones. It typically affects the distal tibia and is relatively more common in younger patients. It's managed with surgical opening, antibiotics, and autologous bone implantation.

== Sclerosing osteomyelitis of Garré ==

Sclerosing osteomyelitis of Garré is a form of chronic (bacterial) osteomyelitis which lacks signs of active infection. It causes sclerosis and bony proliferation. It typically affects children and young adults, usually localised to the mandible secondary to a dental infection, but it can also affect the metaphysis or diaphysis of long bones. It's managed by surgery and antibiotics.<section end="orthopaedics chronic" />

[[Category:Orthopaedics]]

[[Category:Infectious disease]]