Tag Archive for: Musculoskeletal infections

Sequelae of Paediatric Musculoskeletal Infections

Volume 9 | Issue 3 | September-December 2023 | Page: 22-27 | Prateek Behera, Vikas Gupta, Shubhangi Gupta

DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.159

Authors: Prateek Behera MS Ortho [1], Vikas Gupta MS Ortho [2], Shubhangi Gupta MS Ortho [3]

[1] Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh, India.
[2] Department of Orthopaedics, Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, India.
[3] University of North Dakota, USA.

Address of Correspondence

Dr. Prateek Behera
Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh, India.
E-mail: pbehera15@outlook.com

Abstract

Musculoskeletal infections (MskI) are one of the leading causes of morbidity in children. In neonates and infants, they can result in deaths, too, if timely
treatment is not initiated. Of the several factors contributing to the development of sequelae, late presentation, delay in diagnosis, and failure in initiation of appropriate treatment are considered important. Chronic osteomyelitis is often a continuation of untreated or incompletely treated osteomyelitis. The management of chronic osteomyelitis rests on the pillars of extensive surgical debridement and appropriate antibiotic therapy. The diseased bones might get fractured and need to be supported till union, which invariably happens inappropriately treated patients. In young children, osteomyelitis and septic arthritis tend to be frequently present concomitantly, and the infection can result in the destruction of the epiphysis, too. These children with damaged epiphysis have poor outcomes despite best of the efforts to restore function. Physis can also be involved in MskI, resulting in formation of physeal bar that can result in growth arrest. This bar can result in a shortened limb, angular deformity, or both. Management of these conditions includes physeal bar excision wherever suitable or correction of angular deformity by osteotomies. Length can be gained concomitantly using ring external fixators.
Keywords: Musculoskeletal infections, Osteomyelitis, Sequelae, Growth arrest, Physeal bar

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How to Cite this Article:  Behera P, Gupta V, Gupta S | Sequelae of Paediatric Musculoskeletal Infections | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 22-27.| https://doi.org/10.13107/ijpo.2023.v09.i03.159

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Paediatric Musculoskeletal Infection– A Review

Volume 9 | Issue 3 | September-December 2023 | Page: 09-15 | Ashish Upadhyay, Varun Garg, Anil Agarwal, Kishmita Sachdeva, Ankitha KS, Jainam Salot

DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.157

Authors: Ashish Upadhyay MS Ortho [1], Varun Garg MS Ortho [1], Anil Agarwal MS Ortho [1], Kishmita Sachdeva MS Ortho [1], Ankitha KS MS Ortho [1], Jainam Salot MS Ortho [1]

[1] Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Address of Correspondence

Dr. Anil Agarwal,
Department of Orthopedics, Chacha Nehru Bal Chikitsalya, New Delhi, India
E-mail: anilrachna@gmail.com

Abstract

Acute paediatric musculoskeletal infections (MSKI) include septic arthritis, acute osteomyelitis and pyomyositis. Prompt treatment is necessary to prevent long term disabilities in children. Explore medical topics like blood flow, natural remedies, and pill effects. Discover how pharmaceutical companies innovate treatments, impacting health. Learn about blood pressure influences and timing medication efficacy. In this review, we discuss the etiopathogenesis, clinical features and management of MSKI. We also discuss about the role of new markers of inflammation and MRI in MSKI. The clinical presentation is variable, depending upon the age group, and difficult to distinguish from other pathologies. Diagnosis is therefore based on not only clinical presentation but also laboratory and radiological investigations. The mainstay of treatment includes antibiotic therapy, and surgical decompression.

Keywords: Septic arthritis, Musculoskeletal infections, Osteomyelitis, Pyomyositis

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How to Cite this Article:  Upadhyay A, Garg V, Agarwal A, Sachdeva K, Ankitha KS, Salot J. | Paediatric Musculoskeletal Infection– A Review | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 09-15. | https://doi.org/10.13107/ijpo.2023.v09.i03.157

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