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MRI Can Eliminate Unnecessary Surgery for Children with Suspected Musculoskeletal Infections
November 04, 2008Pre-treatment MRI can eliminate unnecessary diagnostic or surgical procedures for children with suspected musculoskeletal infections (septic arthritis and osteomyelitis) according to a study performed at Vanderbilt Children's Hospital in Nashville, TN.
A study was performed on 130 children with suspected musculoskeletal infections; 34 patients in the study group had an MRI after diagnostic or therapeutic intervention and 96 patients in the control group had an MRI prior to any procedure. Results showed that about 60% of patients had neither septic arthritis nor osteomyelitis suggesting that "the majority of the children in the study group had a diagnostic or surgical procedure which could have been avoided with early MRI evaluation," said J. Herman Kan, MD, lead author of the study.
Dr. Kan noted that MRI is not routinely performed prior to treatment because of concerns regarding time and treatment delay and patient sedation.
"If your pediatrician or orthopedic surgeon has a clinical concern for musculoskeletal infection, MRI plays a valuable role in the evaluation of your child's symptoms," said Dr. Kan. Even if there is a delay in diagnosis or if your child needs to be sedated for an MRI, MRI performed prior to invasive procedures will potentially eliminate the need for a diagnostic or surgical intervention altogether," he said.
"In addition, if osteomyelitis or septic arthritis is present and treatment is indeed necessary, MRI performed first will potentially decrease operative time because MRI can provide a roadmap for the orthopedic surgeon," said Dr. Kan.
American Roentgen Ray Society
"If your pediatrician or orthopedic surgeon has a clinical concern for musculoskeletal infection, MRI plays a valuable role in the evaluation of your child's symptoms," said Dr. Kan. Even if there is a delay in diagnosis or if your child needs to be sedated for an MRI, MRI performed prior to invasive procedures will potentially eliminate the need for a diagnostic or surgical intervention altogether," he said.
"In addition, if osteomyelitis or septic arthritis is present and treatment is indeed necessary, MRI performed first will potentially decrease operative time because MRI can provide a roadmap for the orthopedic surgeon," said Dr. Kan.
American Roentgen Ray Society
More Musculoskeletal Infection Current Events and Musculoskeletal Infection News Articles
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Orthopaedic Knowledge Update Musculoskeletal Infection (Orthopedic Knowledge Update) by George (Author), III (Author), M.d. Cierny (Author), George (Editor), III (Editor), M.d. Cierny (Editor), Alex C. McLaren (Editor), Montri D. (Editor), M.d. Wongworawat (Editor) The increasing responsibility placed on physicians and hospitals to reduce postoperative infection makes this brand new OKU specialty topic particularly relevant. Developed by the Musculoskeletal Infection Society and published by AAOS, OKU: Musculoskeletal Infection is the first orthopaedic literature survey devoted to the identification, prevention, and treatment of bone, joint, and soft-tissue infections. Sections include: general considerations, diagnostic modalities, approaches to treatment, specific situations. |
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Musculoskeletal Infections by Jason H. Calhoun (Editor), Jon Mader (Editor) Univ. of Texas, Galveston. Test describes the etiology, diagnosis, and control of musculoskeletal disorders in all areas of the human body. Includes investigation of the occurrence, progression, severity, and clinical prognosis of various soft tissue, bone, and joint infections. Also discussed are the current treatments available. Halftone illustrations. |
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Musculoskeletal infections by Year Book Medical Publishers (Publisher) | |
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CDC says clostridium infections were caused by musculoskeletal tissue allografts, more oversight needed.(Centers for Disease Control and Prevention): An article from: Transplant News by Transplant Communications, Inc. (Publisher) This digital document is an article from Transplant News, published by Transplant Communications, Inc. on July 30, 2004. The length of the article is 622 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: CDC says clostridium infections were caused by musculoskeletal tissue allografts, more oversight needed.(Centers for Disease Control and Prevention) Publication: Transplant News (Newsletter) Date: July 30, 2004 Publisher: Transplant Communications, Inc. Volume: 14 Issue: 14 Distributed by Thomson... | |
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Use Newer Imaging for Musculoskeletal Infection.(Brief Article): An article from: Family Practice News by Jennifer M. Wang (Author) This digital document is an article from Family Practice News, published by International Medical News Group on May 1, 2000. The length of the article is 542 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: Use Newer Imaging for Musculoskeletal Infection.(Brief Article) Author: Jennifer M. Wang Publication: Family Practice News (Magazine/Journal) Date: May 1, 2000 Publisher: International Medical News Group Volume: 30 Issue: 9 Page: 65 Article Type: Brief Article Distributed by Thomson... | |
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Musculoskeletal Infections by William J. Gillespie (Author), Sydney Nade (Author) | |
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Musculoskeletal Infection (American Academy of Orthopaedic Surgeons Symposium) by John L. Esterhai (Author), Anthony G. Gristina (Author), Robert Poss (Editor) This text provides a guide to understanding the mechanisms involved in the pathogenesis of muscoskeletal sepsis. It covers areas such as bone, cartilage, soft tissue, and biomaterial interaction in the face of infection. | |
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Updates in Musculoskeletal Infections, An Issue of Infectious Disease Clinics (The Clinics: Internal Medicine) by John James Ross (Author) Bone and joint infections may be life threatening and result in crippling disability in survivors. The future promises new therapies for musculoskeletal infections, but also the emerging menace of antibiotic resistance. This issue explores advances and controversies in the management of osteomyelitis and septic arthritis, the challenge of methicillin-resistant Staphylococcus aureus (MRSA), antibiotic resistance in the management of gonococcal arthritis, the role of new drugs in the management of fungal bone and joint infection, and the latest in Lyme arthritis, reactive arthritis, viral arthritis, prosthetic joint infection, management of open fractures, musculoskeletal infections with multi-drug resistant tuberculosis, septic bursitis, tenosynovitis, and pyomyositis. This special issue... |
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Diagnostic Imaging of Musculoskeletal Diseases: A Systematic Approach by Akbar Bonakdarpour (Editor), William R. Reinus (Editor), Jasvir S. Khurana (Editor) With the advent of new technologies, the field of musculoskeletal radiology has grown to include not only diseases that affect the skeleton, but also those that affect muscles, ligaments, tendons and also the cartilaginous structures within joints. Diagnostic Imaging of Musculoskeletal Diseases: A Systematic Approach is a useful and worthy teaching text | |
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The Radiologic Clinics of North America: Imaging of Musculoskeletal and Spinal Infections (Volume 39, Number 2) by M.D. FRCPC E. Michel Azouz (Editor) |
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