MEDS2144 Infection

Playlist contributed by: Dr Tom Molyneux

In this playlist, you will undertake a review of different manifestations of osteomyelitis (bone infection) and septic arthritis (joint infection). The selected cases will include examples of pyogenic osteomyelitis (acute, subacute and chronic) and non-pyogenic infection (tuberculosis).

Case 1
Case 2
Case 3
Osteomyelitis - 6...
Case 4
Case 5
Case 6
Case 7
Case 8
Case 9
Case 10
Case 11
Case 12
Osteomyelitis: bi...
Case 13
Case 14
Case 15
Case 16
Magnified View

O...
Case 17
Case 18
Case 19
Fig. 1
Case 20
Case 21
Case 22
Case 23
Case 24
Case 25
Case 26
Case 27
Case 28
Brodie's abscess
Case 29
Case 30
Case 31
Case 32
Case 33
Case 34
Case 35
Case 36
Case 37
Case 38
Post Op  Magnifie...
Case 39
Case 40
Case 41
Case 42
Case 43
Case 44
Case 45
Case 46
Case 47
Case 48
Case 49
Coronal T1 +C
Case 50
Case 51
Case 52

The key features to appreciate that suggest the possibility of osteomyelitis are:

  1. An aggressive pattern of bone destruction (except Brodie's abscess) (moth-eaten or permeative)
  2. An aggressive pattern of periosteal reaction (often laminated)
  3. Fascial plane blurring or obliteration (compare with tumours that displace fascial planes)
  4. Soft tissue swelling

For septic arthritis, look for a local site of involvement (it could show local extension into neighbouring tissues) that involves the joint space and the epiphyses articulating with that joint. You are looking for a "bone-joint-bone" pattern of involvement that may look like an inflammatory arthritis affecting a single joint.

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rID: 9300
Visibility: public

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