COMPUTED TOMOGRAPHY IN DIAGNOSIS AND TREATMENT OF CHRONIC RECURRENT HEMATOGENOUS OSTEOMYELITIS

Abstract

Our aim is to evaluate the possibilities and effectiveness of computed tomography (CT) in a complex of the examination of patients with chronic recurrent hematogenic osteomyelitis of tubular bones. The effectiveness of the CT use in a complex of examination of 60 chronic recurrent hematogenous osteomyelitis of tubular bones in patients aged from 7 to 22 years was analyzed in the work. CT, in contrast to the survey X-ray, made it possible to more accurately determine the true dimensions of the destructive process in the affected bone. In all cases, CT surpassed traditional radiography in the identifying small sequesters promoting chronic inflammation and causing a persistently recurrent course of the disease. With the help of CT, delineated foci of destruction, i.e., intraosseous abscesses, were clearly visualized, whereas with the plain X-ray this substrate was not detected. The obtained data show the high resolution of the CT, to provide with complete information on pathomorphological changes in the bone. This seems extremely important for planning treatment tactics and choosing the amount of surgical intervention.

Keywords

osteomyelitis / children / CT scan / surgery

References

[1] Котягина С.Е. О тактике лучевого исследования при хроническом остеомиелите. Российский электронный журнал лучевой диагностики. 2012; 2 (2): 273.

[2] Harmer J.L., Pickard J., Stinchcombe S.J. The role of diagnostic imaging in the evaluation of suspected osteomyelitis in the foot: A critical review. Foot (Edinb). 2011; 21 (3):149-53.

[3] Дьячкова Г.В., Митина Ю.Л. Компьютерно-томографическая семиотика остеонекроза и секвестрации при хроническом гематогенном остеомиелите. Вестник хирургии. 2007; 166 (4): 25-29.

[4] Васильев А.Ю. и др. Спиральная компьютерная томография в диагностике остеомиелита конечностей. Вестник рентгенологии и радиологии. 2002; 6: 44-49

[5] Beckles V.L., Jones H.W., Harrison W.J. Chronic haematogenous osteomyelitis in children: a retrospective review of 167 patients in Malawi. J. Bone Joint Surg Br. 2010; 92 (8).

[6] Кармазановский Г.Г. Рентгенологическая семиотика хронического остеомиелита длинных костей. М.: Видар; 2013.

[7] Дьячкова Г.В., Митина Ю.Л., Клюшин Н.М., Александров С.М., Ларионова Т.А., Михайлов А.Г. Качество кости у больных хроническим остеомиелитом костей стопы по данным компьютерной томографии. Вестник рентгенологии и радиологии. 2016; 4: 206-14.

[8] Егорова Е. А. Мультиспиральная компьютерная томография в диагностике остеомиелита. Вестник рентгенологии и радиологии. 2010; 4: 18-21

[9] Aubaidi Z. Preoperative magnetic resonance maging of children with multifocal musculoskeletal infections. Ugeskr Laeger. 2011; 173 (15):1126-7.