Tag Archive for: Musculoskeletal infection

Editorial

Volume 9 | Issue 3 | September-December 2023 | Page: 01 | Jayanth S. Sampath

DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.155


Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India.

Address of Correspondence

Dr. Jayanth S. Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com


Editorial

At the outset, I must apologize on behalf of the Editorial Committee of IJPO for the recent loss of continuity in the release of journal issues. The National Medical Commission stopped recognising Index Copernicus towards publication credit for academic clinicians in medical colleges. Consequently, there was a steep reduction in the number of articles submitted to the journal from institutions based in India, one of our main sources of submissions. There was some delay from our reviewers in speedy completion of the review process.
To address these issues, the IJPO Editorial Team with the help of the Executive Council of Paediatric Society of India (POSI) have put in place several measures to improve the number of submissions and for the timely review of submissions. We will increase our presence on social media to expand our reach to young orthopaedic surgeons all over the world. We would like to invite our readers, particularly members of POSI and paediatric orthopaedic academic societies around the world, to join our panel of reviewers. This will provide members a direct insight into the review process and contribute to the dissemination of knowledge within the profession. This is a noble and worthwhile cause and we request your support.
We are also looking towards expanding our editorial board. The current team has been in place for over 6 years. It is time to introduce new talent and ideas, in the long-term interests of the journal.
This issue offers readers a comprehensive overview of the current thinking on the management of musculoskeletal infection in childhood. A series of five articles introduces readers to the basic pathophysiology of infections in the bone, progressing to acute osteomyelitis, mimics and sequelae of infection, and concluding with a review on tuberculosis. I am sure that this symposium will benefit orthopaedic postgraduates and practising surgeons.
We invite your suggestions and comments for any improvements to the journal. Kindly write to us editor@ijpo.com
Before I finish, it is my pleasure to acknowledge the contributions of Mr Saurabh Pullawar from Indian Orthopaedic Research Group who manages the page proofs, communications and the IJPO website single-handedly. The cover page artwork is by Dr Easwar T Ramani, POSI Webmaster and part-time artist. An explanatory note is available below this message.
Sincerely
Dr Jayanth S Sampath
Editor, International Journal of Paediatric Orthopaedics

 


The Two Hands
The two facets of care in septic arthritis, one delivering the surgical knockout punch and the other offering quiet support to the patient to help tide over the sequelae. Conceptualized as the two hands of the Pediatric Orthopedic Surgeon in this artwork.


How to Cite this Article:  Sampat JS | Editorial | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 01.| https://doi.org/10.13107/ijpo.2023.v09.i03.155

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Diagnosis of Pediatric Musculoskeletal Infections: Current Concepts Review

Volume 8 | Issue 1 | January-April 2022 | Page: 14-23 | Neeraj Vij, Jessica Burns, Melissa Esparza, Alexandra Dominianni, Yerin Cho, Mohan V Belthur

DOI-10.13107/ijpo.2022.v08i01.129


Authors: Neeraj Vij BS [1], Jessica Burns MD [2], Melissa Esparza MD [2], Alexandra Dominianni BA [1], Yerin Cho BS [1], Mohan V Belthur MD [1, 2]

[1] Department of Child Health & Orthopaedics, University of Arizona, College of Medicine, Phoenix, Arizona, USA.
[2] Department of Orthopedics, Phoenix Children’s Hospital, Phoenix, Arizona, USA.

Address of Correspondence
Dr. Mohan V. Belthur,
Department of Child Health & Orthopaedics, University of Arizona, College of Medicine, Phoenix, Arizona, USA. Department of Orthopedics, Phoenix Children’s Hospital, Phoenix, Arizona, USA.
E-mail: mbelthur@phoenixchildrens.com


Abstract

Introduction: Pediatric musculoskeletal infections are common and constitute one of the top five conditions contributing to the burden of musculoskeletal disease in childhood. With early accurate diagnosis and appropriate treatment, the clinical course, and outcomes of musculoskeletal infections can be favorable. However, poor outcomes (morbidity/mortality), a wide spectrum of post-infective sequela and significant functional impairment can occur, especially in the setting of delayed diagnosis and inadequate treatment. The purpose of this narrative review is to provide an overview of the standard diagnostic modalities with an emphasis on the recent literature and to summarize the current state of knowledge on the newer diagnostic modalities of the 21rst century.
Materials and Methods: A literature search was performed using the following keywords: “diagnosis”, OR “diagnostic modalities”, OR “diagnostic capability” AND “children” OR “pediatric” AND “musculoskeletal” OR “bony” OR “orthopedic” OR “muscular” AND “infection” OR “bacterial” OR “viral” OR “fungal”. Databases searched included PubMed, EMBASE, Cochrane Library, and SCOPUS. This returned a total of 315 articles. English language articles published between January 1990 and March 2022 regarding traditional or newer diagnostic modalities and pediatric musculoskeletal infection were included in this review.
Results: A total of 62 articles met the inclusion criteria. Our knowledge base regarding the traditional diagnostic modalities has evolved to include several scoring systems with good sensitivities and specificities. Cellular acute phase reactants show promise in the recent literature. There is good literature regarding the evolution of imaging techniques to improve diagnosis. Novel diagnostic modalities in the recent literature include plasma-based acute phase reactants, polymerase chain reaction, and next-generation sequencing.
Conclusion: Continuing to improve our diagnostic accuracy of Pediatric MSKIs can help decrease the worldwide burden of these conditions. As the use of adjunctive biomarkers becomes more common, diagnoses and pathogen identification could be made timelier and antibiotic choices could be individualized leading to improved outcomes. Limited sequence imaging techniques can reduce the associated costs. Polymerase chain reaction and next generation sequencing are important novel technologies that can revolutionize the diagnosis of pediatric musculoskeletal infection.
Keywords:  Paediatric, Musculoskeletal infection, Diagnosis.


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How to Cite this Article:  Vij N, Burns J, Esparza M, Dominianni A, Cho Y, Belthur MV | Septic Arthritis Management: Current Guidelines | International Journal of Paediatric Orthopaedics | January-April 2022; 8(1): 14-23.

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