Jaramillo D, Treves S T, Kasser J R, Harper M, Sundel R, Laor T
Department of Radiology, Children's Hospital, Boston, MA 02115, USA.
AJR Am J Roentgenol. 1995 Aug;165(2):399-403. doi: 10.2214/ajr.165.2.7618566.
Modern imaging techniques have become essential components of the management of acute osteomyelitis and septic arthritis in children. This article addresses the role of these techniques, based on clinical practice guidelines recently developed at a children's hospital by an interdisciplinary group. The recommendations reflect a review of the literature and an analysis of our own experience with 84 children treated for musculoskeletal sepsis during the past 3 years. We attempt to optimize imaging resources by analyzing the unique aspects of these infections in the pediatric skeleton, the clinical needs at different stages of the disease, and the relative strengths and weaknesses of the various imaging procedures. Our goal was to define the use of imaging in cases of osteomyelitis and septic arthritis in children in specific clinical scenarios in which additional information is likely to lead to management modification.
现代成像技术已成为儿童急性骨髓炎和化脓性关节炎治疗中不可或缺的组成部分。本文基于一家儿童医院近期由跨学科团队制定的临床实践指南，探讨了这些技术的作用。这些建议反映了对文献的回顾以及对我们自己在过去3年中治疗的84例肌肉骨骼感染患儿经验的分析。我们试图通过分析小儿骨骼中这些感染的独特方面、疾病不同阶段的临床需求以及各种成像检查的相对优缺点，来优化成像资源。我们的目标是确定在儿童骨髓炎和化脓性关节炎的特定临床情况下成像检查的应用，在这些情况下，额外的信息可能会导致治疗方案的改变。
