Open AccessTO THE QUESTION OF EARLY DIAGNOSIS OF ACUTE HEMATOGENOUS OSTEOMYELITIS OF BONES OF THE HIP JOINT IN CHILDREN
Author(s) -
Ж. А. Шамсиев,
А. М. Шамсиев,
Zafar Mamadjanovich Makhmudov
Publication year - 2018
Publication title -
detskaâ hirurgiâ
Language(s) - English
Resource type - Journals
eISSN - 2412-0677
pISSN - 1560-9510
DOI - 10.18821/1560-9510-2018-22-2-83-88
Subject(s) - medicine , differential diagnosis , osteomyelitis , radiological weapon , hip pain , joint pain , radiology , surgery , pathology
Our goal was to develop objective criteria for early diagnosis of acute hematogenous osteomyelitis (AHO) of bones of the hip joint (BHJ)) in children. For the differential diagnosis between AHO and the reactive coxitis (RC) we examined a total of 93 children (61 AHO BHJ and 32 RC cases). AHO BHJ patients are characterized by a higher degree of endogenous intoxication when compared with RC patients. CT allows diagnose AHO BHJ before the appearance of radiological signs (starting from 3 days from the onset of the disease) in the bone tissue and can be used to differentiate AHO BHJ from RC. These features allow using these parameters as objective criteria for the differential diagnosis in children with acutely developed pain in hip joint area