Clinical features

• severe unremitting pain;

• immobility of the affected joint (any movement causes severe pain);

• swelling of the joint secondary to effusion;

• muscle wasting if chronic which accentuates the relative swelling of the joint;

• erythema of the surrounding soft tissues, especially if there is an associated cellulitis;

• children tend to hold the limb immobile and refuse to weight bear if a lower limb joint is involved;

• an associated systemic upset;

Figure 22.31. Osteomyelitis of the distal tibia.
0 0

Post a comment