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7 Cards in this Set

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True / False? :

The initial infection of osteomyelitis commences in metaphysis, extending to subperiosteal space, forming an abscess and stimulating new bone deposition: "The Sequestra"

The "Sequestra" is where bone fragments that harbour bacteria are formed with necrosis of cortical bone.
The INVOLUCRUM is the answer: an infection / abscess in the subperiosteal space with new bone deposition
Bacterial causes for osteomyelitis ?
1. Staphylococcus aureus
2. Streptococcus species
3. Gram negative species
a. Pseudomonas
b. enterobacteriaceae
Main mechanisms for osteomyelitis?
1. Haematogenous spread ***
2. Trauma
3. Surgery
4. Vascular insufficiency
5. Diabetes
What is the Involucrum ?
Area of abscess and new bone deposition in the subperiosteal space.
What is the Sequestra?
Necrosis of cortical bone, with bone fragments harbouring bacteria.
Intravenous drug use is associated with

osteomyelitis in which atypical sites ?

1. Spine
2. Clavicle
Imaging studies for Osteomyelitis?
1. Plain XR
2. Nuclear medicine scans

For established infection :


3. CT
4. MRI