Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review.

IF 2.4 3区医学 Q2 ORTHOPEDICS BMC Musculoskeletal Disorders Pub Date : 2025-03-11 DOI:10.1186/s12891-025-08475-5

Peng Ning, Shuting Lin, Zhixin Yang, Tianjing Liu

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Abstract

Background: Transphyseal hematogenous osteomyelitis(THO) has been considered a potential cause of severe sequelae due to its damage to the growth plate. It has been reported that growth disturbance would take place if the area of involvement exceeds 7%. However, the growth plate seems to have more potential to recover and regain normal function.

Case presentation: We report three cases of hematogenous osteomyelitis(HO) in children (ages 9 weeks, 4 years, and 13 years respectively ) with significant physeal involvement. All patients underwent surgical debridement and antibiotic therapy. Follow-up assessments demonstrated full recovery, with normal knee movements, no pain and equal limb length. Complete recovery of the physeal plate morphology and normal subsequent development were observed.

Conclusions: THO in children may have the chance of complete recovery after proper treatment, suggesting that the physeal plate has a great potential for self-recovery.

Clinical trial number: Not applicable.

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儿童骨髓炎的预后：3例报告及文献复习。

背景：经骨骺血液性骨髓炎（THO）被认为是严重后遗症的潜在原因，因为它损害生长板。据报道，如果涉及面积超过7%，就会发生生长干扰。然而，生长板似乎更有可能恢复和恢复正常功能。病例介绍：我们报告了3例儿童（年龄分别为9周，4岁和13岁）的血液性骨髓炎（HO），并伴有明显的物理损害。所有患者均行手术清创和抗生素治疗。随访评估显示完全恢复，膝关节活动正常，无疼痛，四肢长度相等。骨骺板形态完全恢复，后续发育正常。结论：儿童THO经适当治疗后可能有完全康复的机会，提示骨骺板具有很大的自我康复潜力。临床试验号：不适用。

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来源期刊

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.