Abstract
Physeal changes of any aetiology in children are usually diagnosed once the deformity is clinically evident. Between January 2006 and June 2007, 15 children who suffered from acute osteoarticular infection around the knee joint were studied. They were called up for follow-up six months after the onset of infection. All patients were evaluated by clinical and roentgenographic examination before undergoing magnetic resonance imaging (MRI) study of both knees “with the unaffected knee serving as control”. Abnormal findings in the physis, metaphysis and/or epiphysis on MRI were observed in five children. This group of five children was compared with the other ten children for clinical presentation and course of disease. We believe that MRI is a useful tool in the evaluation of growth plate insult in the early period following acute osteoarticular infection, and we can diagnose and prevent the catastrophic complications of the same.
Résumé
La modification de la physe chez l’enfant, quelle que soit l’étiologie en cause est habituellement diagnostiquée après que la déformation devienne évidente. Entre janvier 2006 et juin 2007, 15 enfants présentant une infection ostéo articulaire aiguë autour du genou ont été étudiés et ont été suivis pendant six mois après le début de l’infection. Les patients ont été évalués de façon clinique et radiographique ainsi qu’avec une étude IRM au niveau des deux genoux, le genou sain servant de contrôle. Des modifications anormales de la physe ou de la métaphyse sur l’IRM ont été observées chez 5 enfants. Ce groupe de 5 enfants est comparé avec l’autre groupe de 10 enfants. Nous espérons que l’IRM sera un examen utile quant à l’évaluation de la lésion précoce de la plaque de croissance avec possibilité d’un diagnostic précoce après une infection ostéo articulaire de façon à prévenir une complication catastrophique.
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Wardak, E., Gill, S., Wardak, M. et al. Role of MRI in detecting early physeal changes due to acute osteoarticular infection around the knee joint: a pilot study. International Orthopaedics (SICOT) 33, 1707–1711 (2009). https://doi.org/10.1007/s00264-008-0625-9
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DOI: https://doi.org/10.1007/s00264-008-0625-9