Text in Italics is general (instructional) information |
![]() |
Lateral X ray |
![]() |
Magnetic resonance of tibia |
![]() |
Magnetic resonance of femur. |
As the lesions are on both sides of the knee a septic origin for the lesions is most likely. The high ESR and white count confirm sepsis as the cause. The lesion in the proximal tibia seems to cross the growth plate. This may occur with an intra osseous accumulation of pus such as a Brodie's abscess. The capsule of the knee crosses the epiphysis, this allows pus to get from an initial focus of osteomyelitis in one metaphysis into a joint causing septic arthritis. This knee sepsis allowed the sepsis to bridge from one metaphysis to the other.
Record | 110 |