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Indicative Knee Posture in Children with Osteomyelitis of the Proximal Part of the Tibia with or without an Associated Subperiosteal Abscess

A Report of 3 Cases

Pace, J. Lee, MD1,2,a; Pérez-López, Laura Montessarat, MD3,b

doi: 10.2106/JBJS.CC.15.00255
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Case: Three patients with documented osteomyelitis of the proximal part of the tibia are described. On examination, all of the patients had an indicative finding of knee flexion to 90°. Because of the concern for septic arthritis, each patient underwent knee aspiration as part of the evaluation.

All recovered with conventional infection treatment protocols.

Conclusion: High knee flexion beyond what is typical in patients with septic arthritis may indicate osteomyelitis of the proximal part of the tibia. Consideration of this diagnosis may lead to more expedient and efficient care.

1Children’s Orthopedic Center, Children’s Hospital Los Angeles, Los Angeles, California

2Keck School of Medicine, University of Southern California, Los Angeles, California

3Hospital Sant Joan de Déu, Barcelona, Spain

aE-mail address for J.L. Pace: jpace@chla.usc.edu

bE-mail address for L.M. Pérez-López: lperezl@hsjdbcn.org

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
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