4 Curs Osteomielita Engl Bun
4 Curs Osteomielita Engl Bun
4 Curs Osteomielita Engl Bun
Complications
Septic arthritis
Pathologic fractures
Deformities of the limbs
Osteomyelitis
Atipic forms :
Brodie absces
Hyperostosing
Pseudotumoral
Panaritia
Osteomyelitis of the skull
Osteomyelitis of the spine
Brodie Absces
involucrum
Chronic osteomyelitis
TB
Pathology - affects both bone and joint (osteo-articular tuberculosis)
- frequent at youth ages (10-30), hematogenous spread from
pulmonary form,
- radiologic changes after 6-12 months
BONE
1. Osteoporosis in large area
2. Marginal osteolysis (sometimes central - bone cysts, cavern)
3. No periosteal reaction
4. Late - abnormal bone reforming process = osteosclerosis
JOINT
1. Symmetrical or non-symmetrical articulary space narrowing
(destruction of cartilage) - total loss = ankylosis
2. Tickening of the capsule, soft tissue swelling
Tuberculosis
Pathogeny
Young age, secondary disease, hemathogenic
spread
Location epiphysis + joint
Rx sings at 6 months – 2 years from clinical
simptoms
Osteo-articular tuberculosis
General characteristics :
Chronica disease
Allways bone and joint envolvement
Affects spongy bone, NO envolvement of dyaphisis
– Rx characteristics :
Intensa and extended osteoporosis
Joint distruction - ankilosis
Bone distruction
Osteo-articular tuberculosis
Bone changes
Intens + extended osteoporosis
Osteolysis
NO:
– Bone sechestrum
– Periosteal reaction
Osteo-articular tuberculosis
Joint changes:
narrowing
– uniform
– focal
Complet distruction – ankylosis – bone fussion
Changes of joint axes – subluxation
Clinic :
- fever
- joint pain
- functional impotence
- soft tissue sweeling
- lab test: leucocytes, reactive C
protein,VSH
gonococica
arthritis
staphillococic
arthritis