{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:37:58Z","timestamp":1787755078882,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2016,11,23]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Three patients with documented osteomyelitis of the proximal part of the tibia are described. On examination, all of the patients had an indicative finding of knee flexion to 90\u00b0. Because of the concern for septic arthritis, each patient underwent knee aspiration as part of the evaluation.<\/jats:p>\n                    <jats:p>All recovered with conventional infection treatment protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>High knee flexion beyond what is typical in patients with septic arthritis may indicate osteomyelitis of the proximal part of the tibia. Consideration of this diagnosis may lead to more expedient and efficient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.15.00255","type":"journal-article","created":{"date-parts":[[2016,11,15]],"date-time":"2016-11-15T09:01:06Z","timestamp":1479200466000},"page":"e92","source":"Crossref","is-referenced-by-count":0,"title":["Indicative Knee Posture in Children with Osteomyelitis of the Proximal Part of the Tibia with or without an Associated Subperiosteal Abscess"],"prefix":"10.2106","volume":"6","author":[{"given":"J. Lee","family":"Pace","sequence":"first","affiliation":[{"name":"Children\u2019s Orthopedic Center, Children\u2019s Hospital Los Angeles, Los Angeles, California"},{"name":"Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Montessarat","family":"P\u00e9rez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Hospital Sant Joan de D\u00e9u, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"3","key":"bib1-20230821","doi-asserted-by":"crossref","first-page":"166","DOI":"10.5435\/00124635-200105000-00003","article-title":"Acute hematogenous osteomyelitis in children","volume":"9","author":"Song","year":"2001","journal-title":"J Am Acad Orthop Surg."},{"issue":"7","key":"bib3-20230821","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1097\/BPO.0b013e318186eb4b","article-title":"The impact of the current epidemiology of pediatric musculoskeletal infection on evaluation and treatment guidelines","volume":"28","author":"Gafur","year":"2008","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib4-20230821","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/BPO.0b013e318278484f","article-title":"Concurrent septic arthritis and osteomyelitis in children","volume":"33","author":"Montgomery","year":"2013","journal-title":"J Pediatr Orthop."},{"issue":"1","key":"bib5-20230821","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/01241398-200001000-00009","article-title":"The incidence of joint involvement with adjacent osteomyelitis in pediatric patients","volume":"20","author":"Perlman","year":"2000","journal-title":"J Pediatr Orthop."},{"issue":"3","key":"bib6-20230821","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/j.1442-200X.2008.02791.x","article-title":"Acute septic arthritis in children","volume":"51","author":"Al Saadi","year":"2009","journal-title":"Pediatr Int."},{"issue":"6","key":"bib7-20230821","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1177\/000992280404300607","article-title":"Retrospective assessment of subacute or chronic osteomyelitis in children and young adults","volume":"43","author":"Auh","year":"2004","journal-title":"Clin Pediatr (Phila)."},{"issue":"10","key":"bib8-20230821","doi-asserted-by":"crossref","first-page":"618","DOI":"10.5435\/00124635-200910000-00004","article-title":"Pediatric musculoskeletal infection: trends and antibiotic recommendations","volume":"17","author":"Copley","year":"2009","journal-title":"J Am Acad Orthop Surg."},{"issue":"4","key":"bib9-20230821","first-page":"260","article-title":"Acute hematogenous osteomyelitis and septic arthritis in children","volume":"36","author":"Kao","year":"2003","journal-title":"J Microbiol Immunol Infect."},{"issue":"4","key":"bib10-20230821","first-page":"342","article-title":"Characteristics and outcome of septic arthritis in children","volume":"39","author":"Yuan","year":"2006","journal-title":"J Microbiol Immunol Infect."},{"issue":"3","key":"bib11-20230821","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1542\/peds.2008-1511","article-title":"Acute pediatric monoarticular arthritis: distinguishing Lyme arthritis from other etiologies","volume":"123","author":"Thompson","year":"2009","journal-title":"Pediatrics."},{"issue":"4","key":"bib12-20230821","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1016\/S0030-5898(20)30955-X","article-title":"Septic arthritis in children","volume":"6","author":"Morrey","year":"1975","journal-title":"Orthop Clin North Am."},{"issue":"8","key":"bib13-20230821","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1001\/archpedi.1987.04460080084034","article-title":"Septic arthritis in childhood. A 13-year review","volume":"141","author":"Barton","year":"1987","journal-title":"Am J Dis Child."},{"issue":"5","key":"bib14-20230821","first-page":"590","article-title":"Ultrasound and colour Doppler sonography in acute osteomyelitis in children","volume":"71","author":"Azam","year":"2005","journal-title":"Acta Orthop Belg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201606040-00013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:37:11Z","timestamp":1787751431000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201606040-00013"}},"subtitle":["A Report of 3 Cases"],"short-title":[],"issued":{"date-parts":[[2016,11,23]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.15.00255","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,23]]}}}