Radiologic classification of chronic hematogenous osteomyelitis in children.
J Pediatr Orthop
; 29(7): 822-7, 2009.
Article
em En
| MEDLINE
| ID: mdl-20104169
ABSTRACT
BACKGROUND:
Childhood hematogenous chronic osteomyelitis remains a serious cause of morbidity throughout the developing world. The aim of our study was to develop a reliable and clinically useful classification system for this condition in children.METHODS:
The case notes and radiographs of 87 children with chronic hematogenous osteomyelitis of one or more long bone were reviewed to devise a classification system. We undertook reliability studies of the proposed classification system. Five observers classified the selected radiographs of 32 patients on two separate occasions.RESULTS:
The classification divides the condition into 3 main types type A--Brodie's abscess, type B--sequestrum involucrum, and type C--sclerotic. Type B has four subtypes. Intraobserver agreement was 95% for the main types and 77% (kappa coefficient 0.7) with the subtypes. Interobserver agreement was 95% to 97% for the main types and 78% (multirater kappa=0.54) for the subtypes.CONCLUSIONS:
The results suggest that our classification system for chronic hematogenous osteomyelitis in children is reliable.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Osteomielite
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Orthop
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Reino Unido