ReviewBMC musculoskeletal disorders2025
Prognosis of transphyseal hematogenous osteomyelitis in children: three case reports and a literature review.
Review in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTransphyseal 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.
conclusionsTHO 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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