{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T04:52:26Z","timestamp":1776919946749,"version":"3.51.2"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T00:00:00Z","timestamp":1712188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T00:00:00Z","timestamp":1712188800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Fujian Province science and technology innovation joint fund project","award":["2021Y9188"],"award-info":[{"award-number":["2021Y9188"]}]},{"name":"Fujian Province science and technology innovation joint fund project","award":["2021Y9188"],"award-info":[{"award-number":["2021Y9188"]}]},{"name":"Fujian Province science and technology innovation joint fund project","award":["2021Y9188"],"award-info":[{"award-number":["2021Y9188"]}]},{"name":"Fujian Province science and technology innovation joint fund project","award":["2021Y9188"],"award-info":[{"award-number":["2021Y9188"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>Diagnosing musculoskeletal infections in children is challenging. In recent years, with the advancement of ultrasound technology, high-resolution ultrasound has unique advantages for musculoskeletal children. The aim of this work is to summarize the ultrasonographic and clinical characteristics of children with pyogenic arthritis and osteomyelitis. This study provides a simpler and more effective diagnostic basis for clinical treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Fifty children with osteomyelitis or arthritis were diagnosed via ultrasound, and the results of the ultrasound diagnosis were compared with those of magnetic resonance imaging and surgery. Clinical and ultrasound characteristics were also analyzed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Out of 50 patients, 46 were confirmed to have\u00a0suppurative infection by surgical and microbiological examination. Among these 46 patients, 26 were diagnosed with osteomyelitis and 20 had arthritis. The manifestations of osteomyelitis were subperiosteal abscess (15 patients), bone destruction (17 patients), bone marrow abscess (9 patients), and adjacent joint abscess (13 patients). Osteomyelitis mostly affects the long bones of the limbs, femur and humerus (10 and 9 patients, respectively), followed by the ulna, radius, tibia and fibula (one patient each). The manifestations of arthritis were joint pus (20 patients) and joint capsule thickening (20 patients), and hip dislocation (8 patients). All the patients had arthritis involving the hip joint.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Subperiosteal abscess, bone destruction, and joint abscess with dislocation are ultrasonographic features of pyogenic osteoarthritis. The findings of this work can improve the early diagnosis and differentiation of pyogenic osteoarthritis and provide a reliable basis for treatment.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13018-024-04563-9","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T02:01:53Z","timestamp":1712196113000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical and ultrasound features of 46 children with suppurative osteoarthritis: experience from two centers"],"prefix":"10.1186","volume":"19","author":[{"given":"Sai-feng","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Teng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Hui-Qing\u00a0Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Juan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue-Hua","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"key":"4563_CR1","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1007\/s11832-014-0549-4","volume":"8","author":"N Williams","year":"2014","unstructured":"Williams N, Cooper C, Cundy P. Kingella kingae septic arthritis in children: recognising an elusive pathogen. J Child Orthop. 2014;8:91\u20135. https:\/\/doi.org\/10.1007\/s11832-014-0549-4.","journal-title":"J Child Orthop"},{"key":"4563_CR2","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1007\/s12098-015-1806-3","volume":"83","author":"A Agarwal","year":"2016","unstructured":"Agarwal A, Aggarwal AN. Bone and joint infections in children: acute hematogenous osteomyelitis. Indian J Pediatr. 2016;83:817\u201324. https:\/\/doi.org\/10.1007\/s12098-015-1806-3","journal-title":"Indian J Pediatr"},{"key":"4563_CR3","doi-asserted-by":"publisher","DOI":"10.1177\/1742271X20901736","author":"M Shahid","year":"2020","unstructured":"Shahid M, Holton C, O\u2019Riordan S, Kraft JK. Sonography of musculoskeletal infection in children. Utrasound. 2020. https:\/\/doi.org\/10.1177\/1742271X20901736","journal-title":"Utrasound"},{"issue":"2","key":"4563_CR4","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1002\/jmri.27299","volume":"54","author":"SJ Menashe","year":"2021","unstructured":"Menashe SJ, Aboughalia H, Zhao Y, Ngo A-V, Otjen JP, Thapa MM, Iyer RS. The many faces of pediatric chronic recurrent multifocal osteomyelitis (CRMO): a practical location- and case-based approach to differentiate CRMO from its mimics. J Magnet Resonance Imag JMRI. 2021;54(2):391\u2013400. https:\/\/doi.org\/10.1002\/jmri.27299","journal-title":"J Magnet Resonance Imag JMRI"},{"issue":"11","key":"4563_CR5","doi-asserted-by":"publisher","first-page":"1972","DOI":"10.1111\/1756-185X.13672","volume":"22","author":"C-H Lu","year":"2019","unstructured":"Lu C-H, Hsiao Y-F, et al. Can ultrasound differentiate acute erosive arthritis associated with osteomyelitis, rheumatoid arthritis, or gouty arthritis? Int J Rheumat Dis. 2019;22(11):1972\u20137. https:\/\/doi.org\/10.1111\/1756-185X.13672.","journal-title":"Int J Rheumat Dis"},{"key":"4563_CR6","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000237","author":"NI Montgomery","year":"2015","unstructured":"Montgomery NI, Rosenfeld S. Pediatric osteoarticular infection update. J Pediatr Orthop. 2015. https:\/\/doi.org\/10.1097\/BPO.0000000000000237.","journal-title":"J Pediatr Orthop"},{"key":"4563_CR7","doi-asserted-by":"publisher","DOI":"10.1093\/jpids\/piy034","author":"E Spyridakis","year":"2019","unstructured":"Spyridakis E, Gerber JS, Schriver E, et al. Clinical features and outcomes of children with culture-negative septic arthritis. J Pediatr Infect Dis Soc. 2019. https:\/\/doi.org\/10.1093\/jpids\/piy034.","journal-title":"J Pediatr Infect Dis Soc"},{"issue":"2","key":"4563_CR8","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1097\/01202412-199302020-00005","volume":"2","author":"R Graf","year":"1993","unstructured":"Graf R, Tschauner C, Klapsch W. Progress in prevention of late developmental dislocation of the hip by sonographic newborn hip \u201cscreening\u201d: results of a comparative follow-up study. J Pediatr Orthop B. 1993;2(2):115\u201321. https:\/\/doi.org\/10.1097\/01202412-199302020-00005.","journal-title":"J Pediatr Orthop B"},{"issue":"2","key":"4563_CR9","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.19.00103","volume":"8","author":"I Swarup","year":"2020","unstructured":"Swarup I, LaValva S, Shah R, et al. Septic arthritis of the hip in children: a critical analysis review. 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Radiologie. 2023;63(10):729\u201335. https:\/\/doi.org\/10.1007\/s00117-023-01179-8.","journal-title":"Radiologie"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-024-04563-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-024-04563-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-024-04563-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T02:02:49Z","timestamp":1712196169000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-024-04563-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,4]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4563"],"URL":"https:\/\/doi.org\/10.1186\/s13018-024-04563-9","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,4]]},"assertion":[{"value":"13 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Medical Ethics Committee of Fujian Children\u2019s Hospital and Hunan Children\u2019s Hospital, and informed consent was waived.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All the authors listed have approved the manuscript that is enclosed.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"220"}}