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Hematogenous osteomyelitis of the patella

Gil-Albarova, Jorge; Gómez-Palacio, Victoria Eugenia; Herrera, Antonio

Journal of Pediatric Orthopaedics B: September 2012 - Volume 21 - Issue 5 - p 411–414
doi: 10.1097/BPB.0b013e328348da5b

Osteomyelitis is an uncommon infection that is considered to be a childhood disease. Diagnosis is frequently delayed, as it is a very rare condition and also because of its variable presentation. After an accurate diagnosis and treatment, the outcome is favorable in children. We present one case without recent previous infection, antecedent trauma, or penetrating injury, illustrating the difficulties in diagnosis. Nontraumatic osteomyelitis of the patella should be regarded as a rare hematogenous infection. A high index of suspicion should be addressed for early recognition. Study design is level of evidence: level IV.

Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Avda. de Isabel la Católica 1-3, Zaragoza, Spain

Correspondence to Jorge Gil-Albarova, MD, PhD, Fray Luis Amigó 2, Zaragoza 50006, Spain Tel: +34 976 389626; fax: +34 976 566234; e-mail:

© 2012 Lippincott Williams & Wilkins, Inc.