{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:03:48Z","timestamp":1780445028900,"version":"3.54.1"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ajem.2026.04.034","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T15:27:07Z","timestamp":1776871627000},"page":"38-43","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Analysis of risk factors for concurrent osteomyelitis in children with septic arthritis: A retrospective cohort study"],"prefix":"10.1016","volume":"106","author":[{"given":"Chen","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiren","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weili","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.ajem.2026.04.034_bb0005","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.19.00103","article-title":"Septic arthritis of the hip in children: a critical analysis review","volume":"8","author":"Swarup","year":"2020","journal-title":"JBJS Rev"},{"issue":"1\u20132","key":"10.1016\/j.ajem.2026.04.034_bb0010","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/j.1440-1754.2005.00538.x","article-title":"Acute osteomyelitis and septic arthritis in children","volume":"41","author":"Goergens","year":"2005","journal-title":"J Paediatr Child Health"},{"issue":"2","key":"10.1016\/j.ajem.2026.04.034_bb0015","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.ocl.2016.12.008","article-title":"Pediatric septic arthritis","volume":"48","author":"Montgomery","year":"2017","journal-title":"Orthop Clin North Am"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0020","article-title":"Aeromonas veronii-induced septic arthritis of the hip in a child with acute lymphoblastic leukemia","volume":"20","author":"Tian","year":"2025","journal-title":"Open Life Sci"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0025","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1186\/s13018-024-04563-9","article-title":"Clinical and ultrasound features of 46 children with suppurative osteoarthritis: experience from two centers","volume":"19","author":"Huang","year":"2024","journal-title":"J Orthop Surgery Res"},{"issue":"6","key":"10.1016\/j.ajem.2026.04.034_bb0030","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1136\/emermed-2024-214607","article-title":"Test characteristics of clinical findings and clinical decision rules for the diagnosis of septic arthritis in children with an acute limp presenting to the emergency department: a prospective observational study","volume":"42","author":"Tu","year":"2025","journal-title":"Emerg Med J"},{"issue":"6","key":"10.1016\/j.ajem.2026.04.034_bb0035","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1007\/s00247-022-05329-3","article-title":"Benefits of diffusion-weighted imaging in pediatric acute osteoarticular infections","volume":"52","author":"Habre","year":"2022","journal-title":"Pediatr Radiol"},{"issue":"3","key":"10.1016\/j.ajem.2026.04.034_bb0040","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.idc.2015.05.012","article-title":"Osteoarticular infections in children","volume":"29","author":"Arnold","year":"2015","journal-title":"Infect Dis Clin North Am"},{"issue":"3","key":"10.1016\/j.ajem.2026.04.034_bb0045","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/MOP.0000000000001234","article-title":"Pediatric musculoskeletal infections","volume":"35","author":"Hannon","year":"2023","journal-title":"Curr Opin Pediatr"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0050","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1186\/s13018-025-05597-3","article-title":"Investigating the prevalence of the concomitant osteomyelitis in pediatric hip septic arthritis: a systematic review and meta-analysis","volume":"20","author":"Xinling","year":"2025","journal-title":"J Orthop Surgery Res"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0055","first-page":"25","article-title":"Periosteal manifestations of osteomyelitis and arthritis on ultrasound: a systematic review","volume":"32","author":"Waitayangkoon","year":"2024","journal-title":"J Med Ultrasound"},{"issue":"8","key":"10.1016\/j.ajem.2026.04.034_bb0060","doi-asserted-by":"crossref","first-page":"624","DOI":"10.3390\/medicina45080081","article-title":"The accuracy of different imaging techniques in diagnosis of acute hematogenous osteomyelitis","volume":"45","author":"Malcius","year":"2009","journal-title":"Medicina (Kaunas)"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0065","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s11999.0000000000000019","article-title":"Validating an algorithm to predict adjacent musculoskeletal infections in pediatric patients with septic arthritis","volume":"476","author":"Welling","year":"2018","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"10.1016\/j.ajem.2026.04.034_bb0070","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/18632521221126922","article-title":"Magnetic resonance imaging in the evaluation of suspected hip sepsis in children","volume":"16","author":"Corin","year":"2022","journal-title":"J Children\u2019s Orthop"},{"issue":"2","key":"10.1016\/j.ajem.2026.04.034_bb0075","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/BPO.0000000000001113","article-title":"The introduction of a preoperative MRI protocol significantly reduces unplanned return to the operating room in the treatment of pediatric osteoarticular infections","volume":"40","author":"Griswold","year":"2020","journal-title":"J Pediatr Orthop"},{"issue":"3","key":"10.1016\/j.ajem.2026.04.034_bb0080","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1097\/BPO.0000000000000097","article-title":"Improving diagnostic efficiency: analysis of pelvic MRI versus emergency hip aspiration for suspected hip sepsis","volume":"34","author":"Gottschalk","year":"2014","journal-title":"J Pediatr Orthop"},{"issue":"7624","key":"10.1016\/j.ajem.2026.04.034_bb0085","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1136\/bmj.39335.541782.AD","article-title":"Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"335","author":"von Elm","year":"2007","journal-title":"BMJ (Clin Res Ed)"},{"issue":"3","key":"10.1016\/j.ajem.2026.04.034_bb0090","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1302\/0301-620X.105B3.BJJ-2022-1179.R1","article-title":"Diagnosing acute bone and joint infection in children","volume":"105-b","author":"Theologis","year":"2023","journal-title":"Bone Joint J"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0095","doi-asserted-by":"crossref","first-page":"83","DOI":"10.4103\/jwas.jwas_83_23","article-title":"Role of magnetic resonance imaging in concomitant periarticular infections in septic arthritis of large joints in children: a systematic review","volume":"14","author":"Garg","year":"2024","journal-title":"J West Afr College Surgeons"},{"issue":"4","key":"10.1016\/j.ajem.2026.04.034_bb0100","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.1007\/s00402-022-04371-y","article-title":"Relevant factors in the diagnosis of concomitant osteomyelitis in pediatric hip septic arthritis. A series of 41 cases treated by hip arthroscopy","volume":"143","author":"Danilov","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"issue":"4","key":"10.1016\/j.ajem.2026.04.034_bb0105","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/BPO.0000000000001771","article-title":"Pain for greater than 4 days is highly predictive of concomitant osteomyelitis in children with septic arthritis","volume":"41","author":"Siddiqui","year":"2021","journal-title":"J Pediatr Orthop"},{"issue":"4","key":"10.1016\/j.ajem.2026.04.034_bb0110","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1097\/BPB.0000000000001134","article-title":"Logistic regression analysis of multiple rapid admission hematological indicators to determine the risk of osteomyelitis in infected children","volume":"33","author":"Zhu","year":"2024","journal-title":"J Pediatric Orthop Part B"},{"issue":"13","key":"10.1016\/j.ajem.2026.04.034_bb0115","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.2106\/JBJS.20.01685","article-title":"Children with primary septic arthritis have a markedly lower risk of adverse outcomes than those with contiguous osteomyelitis","volume":"103","author":"Hamilton","year":"2021","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0120","doi-asserted-by":"crossref","DOI":"10.1177\/2309499020910974","article-title":"Suppurative arthritis of hip in a walking child: effect of patient\u2019s age, delay in surgical drainage, and organism virulence","volume":"28","author":"Agarwal","year":"2020","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"2","key":"10.1016\/j.ajem.2026.04.034_bb0125","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.idc.2017.01.010","article-title":"Osteomyelitis","volume":"31","author":"Schmitt","year":"2017","journal-title":"Infect Dis Clin North Am"},{"issue":"6","key":"10.1016\/j.ajem.2026.04.034_bb0130","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.19.00202","article-title":"Diagnosis and management of osteomyelitis in children: a critical analysis review","volume":"8","author":"Gornitzky","year":"2020","journal-title":"JBJS Rev"},{"issue":"7","key":"10.1016\/j.ajem.2026.04.034_bb0135","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1038\/s41579-022-00686-0","article-title":"Skeletal infections: microbial pathogenesis, immunity and clinical management","volume":"20","author":"Masters","year":"2022","journal-title":"Nat Rev Microbiol"},{"issue":"3","key":"10.1016\/j.ajem.2026.04.034_bb0140","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s11832-011-0347-1","article-title":"Acute multifocal haematogenous osteomyelitis in children","volume":"5","author":"Sreenivas","year":"2011","journal-title":"J Children\u2019s Orthop"},{"issue":"1","key":"10.1016\/j.ajem.2026.04.034_bb0145","first-page":"28","article-title":"Change of platelet parameters in septic shock patients","volume":"26","author":"Gao","year":"2014","journal-title":"Zhonghua Wei zhong bing ji jiu yi xue"},{"issue":"4","key":"10.1016\/j.ajem.2026.04.034_bb0150","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1007\/s11845-019-01973-1","article-title":"The role of real-time PCR testing in the investigation of paediatric patients with community-onset osteomyelitis and septic arthritis","volume":"188","author":"O\u2019Rourke","year":"2019","journal-title":"Ir J Med Sci"},{"issue":"8","key":"10.1016\/j.ajem.2026.04.034_bb0155","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1093\/jpids\/piab027","article-title":"Clinical practice guideline by the pediatric infectious diseases society and the infectious diseases society of america: 2021 guideline on diagnosis and management of acute hematogenous osteomyelitis in pediatrics","volume":"10","author":"Woods","year":"2021","journal-title":"J Pediatric Infect Dis Soc"},{"issue":"Pt 4","key":"10.1016\/j.ajem.2026.04.034_bb0160","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1099\/jmm.0.000026","article-title":"Microbiological characteristics of acute osteoarticular infections in children","volume":"64","author":"Russell","year":"2015","journal-title":"J Med Microbiol"},{"key":"10.1016\/j.ajem.2026.04.034_bb0165","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jor.2021.11.004","article-title":"Predicting adjacent infections in pediatric septic arthritis: do predictive criteria extrapolate across geographic regions?: predicting periarticular infection in the southeast","volume":"28","author":"Paynter","year":"2021","journal-title":"J Orthop"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675726001981?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675726001981?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T23:03:15Z","timestamp":1780441395000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735675726001981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":33,"alternative-id":["S0735675726001981"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2026.04.034","relation":{},"ISSN":["0735-6757"],"issn-type":[{"value":"0735-6757","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Analysis of risk factors for concurrent osteomyelitis in children with septic arthritis: A retrospective cohort study","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2026.04.034","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}