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Clinical/methodological issue <p>Hematogenously disseminated osteomyelitis in children and adolescents is an acute disease with a&#xa0;substantial threat to the health of a&#xa0;child or adolescent. Due to the destruction of bones or joints within hours to days and the risk of bacterial sepsis, it is a&#xa0;feared pediatric emergency that requires hospitalization in a&#xa0;children’s hospital and rapid action.</p> Standard radiological methods <p>The standard radiological procedures are X‑ray, sonography and magnetic resonance imaging (MRI).</p> Methodological innovations/performance <p>Contrast-enhanced MRI has established itself as the gold standard for the detection of osteomyelitis.</p> Achievements <p>It is characterized by a&#xa0;very high sensitivity and high specificity.</p> Practical recommendations <p>If there is a&#xa0;clinical suspicion of bacterial osteomyelitis, an MRI diagnosis must be carried out quickly.</p>

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Hämatogene Osteomyelitis im Kindesalter

  • 期刊论文

  • 发表日期：

    2025年6月16日

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  • Markus Uhl,
  • Markus Hufnagel

摘要

Clinical/methodological issue

Hematogenously disseminated osteomyelitis in children and adolescents is an acute disease with a substantial threat to the health of a child or adolescent. Due to the destruction of bones or joints within hours to days and the risk of bacterial sepsis, it is a feared pediatric emergency that requires hospitalization in a children’s hospital and rapid action.

Standard radiological methods

The standard radiological procedures are X‑ray, sonography and magnetic resonance imaging (MRI).

Methodological innovations/performance

Contrast-enhanced MRI has established itself as the gold standard for the detection of osteomyelitis.

Achievements

It is characterized by a very high sensitivity and high specificity.

Practical recommendations

If there is a clinical suspicion of bacterial osteomyelitis, an MRI diagnosis must be carried out quickly.