Kankate R K, Selvan T P
Department of Orthopaedics, East Surrey Hospital, Redhill, UK.
Postgrad Med J. 2000 Nov;76(901):707-9. doi: 10.1136/pmj.76.901.707.
Acute osteomyelitis of the patella is a very rare condition, which commonly affects children between the ages of 5-15 years. Primary haematogenous osteomyelitis in an adult usually occurs in patients with associated risk factors like intravenous drug abuse, HIV infection, and trauma. This report discusses a similar condition in a 46 year old women with no associated predisposing risk factors. The rarity of this condition and its atypical presentation should be borne in mind while treating an adult patient with anterior knee pain. Point tenderness over the patella should alert a physician to the possibility of osteomyelitis of the patella. The value of bone scan and computed tomography in the early stages to help diagnose this condition has been stressed. The literature has been reviewed and discussed briefly.
髌骨急性骨髓炎是一种非常罕见的病症，通常影响5至15岁的儿童。成人原发性血源性骨髓炎通常发生在有静脉药物滥用、艾滋病毒感染和创伤等相关危险因素的患者中。本报告讨论了一名46岁无相关易感危险因素的女性的类似病症。在治疗成年膝关节前部疼痛患者时，应牢记这种病症的罕见性及其非典型表现。髌骨上的压痛点应提醒医生注意髌骨骨髓炎的可能性。强调了骨扫描和计算机断层扫描在早期帮助诊断这种病症的价值。已对相关文献进行了综述并简要讨论。
