[Expert opinion problems in the evaluation of osteomyelitis]. / Gutachterliche Probleme bei der Beurteilung von Osteomyelitiden.

ABSTRACT

Cases of osteomyelitis can be differentiated according to hematogenous (endogenous), and post-traumatic (exogenous) forms. Both types can lead to considerable permanent damage or recur even after a fairly long time. In the formulation of an expert opinion to assess cases of osteomyelitis, the foremost question concerns a possible error in treatment or clarification of a connection to a postulated trauma. The present article describes aspects of expert opinions on cases of osteomyelitis of the long bones, spinal column, and in children. In addition to potential claims for compensation for harm caused by permanent damage, other conceivable sequelae such as fistula carcinoma or amyloidosis are relevant for expert opinions. In contrast, substantiated clarification of the causality of a triggering traumatic event is essentially important for recognition of claims against accident insurance companies.