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The Journal of Bone & Joint Surgery British Volume
Vol. 77-B, Issue 4 | Pages 663 - 664
1 Jul 1995
Howard C Einhorn M Dagan R Nyska M


The Journal of Bone & Joint Surgery British Volume
Vol. 76-B, Issue 2 | Pages 311 - 314
1 Mar 1994
Howard C Einhorn M Dagan R Yagupski P Porat S

In 30 patients in whom osteomyelitis was suspected fine-needle bone biopsies (FNBB) were taken at the same time as bone was aspirated for bacteriological examination. The diagnosis of osteomyelitis was eventually confirmed in 15 patients; the other 15 had myositis (3), arthritis (3), trauma (2), microgeodic phalangeal syndrome (2), haematoma in a non-ossifying fibroma (1), and Ewing's sarcoma (1). In three patients no pathology was found. The temperature, WBC and ESR at presentation did not help to distinguish osteomyelitis from other conditions. FNBB, however, proved to be a useful additional investigation with a sensitivity for osteomyelitis of 87% and a specificity of 93%.


The Journal of Bone & Joint Surgery British Volume
Vol. 75-B, Issue 1 | Pages 79 - 82
1 Jan 1993
Howard C Einhorn M Dagan R Nyska M

We reviewed the ultrasound findings in 59 children suspected of having bone infection. Twenty-nine were eventually proved to have acute haematogenous osteomyelitis and 26 of these showed characteristic ultrasound findings. Such changes were rare in 30 patients with other clinically similar conditions. Ultrasound examination was also able to detect the presence of subperiosteal pus and thus indicate the need for surgical treatment.