Two cases are reported of osteomyelitis in the proximal end of the femur and humerus, respectively, with subsequent reduction of the blood supply to the corresponding head. A hypothesis is presented to explain the genesis of the ischemia, and the implications on treatment of osteomyelitis of the hip and shoulder regions.
Get full access to this article
View all access options for this article.
References
1.
CrockH.: An atlas of the arterial supply of the head and neck of the femur in man. Clin. Orthop.152 (1980), 17.
2.
GildayD.: Special problems in paediatrics. In: Clinical nuclear medicine, p. 332. Edited by MaiseyM.BrittonK.GildayD., Chapman and Hall, London1983.
3.
HarveyL.TrevesS.PapanicolauN.DavisR.MillisM.: Radionuclide diagnosis of reversible ischemia of the femoral head in children with septic arthritis. Paper read at 25th Annual Meet. Soc. Pediat. Radiol. New Orleans 1982.
4.
KempH.: Perthes' disease. The influence of intracapsular tamponade on the circulation in the hip joint of the dog. Clin. Orthop.156 (1981), 105.
5.
KloiberR.PavloskyW.PortnerO.GartkeK.: Bone scintigraphy of hip joint effusions in children. Amer. J. Roentgenol.140 (1983), 995.
6.
LaunderW.HungerfordD.JonesL.: Hemodynamics of the femoral head. J. Bone Jt Surg.63 A (1981), 442.
7.
MurrayI. P. C.: Photopenia in skeletal scintigraphy of suspected bone and joint infection. Nucl. Clin. Med.7 (1982), 13.
8.
TruetaJ.: The normal vascular anatomy of the human femoral head during growth. J. Bone Jt Surg.39 B (1957), 358.
9.
WoodhouseC.: Dynamic influences of vascular occlusion affecting the development of a vascular necrosis of the femoral head. Clin. Orthop.32 (1964), 119.