BACKGROUND: Childhood hematogenous chronic osteomyelitis remains a serious cause of morbidity throughout the developing world. The aim of our study was to develop a reliable and clinically useful classification system for this condition in children. METHODS: The case notes and radiographs of 87 children with chronic hematogenous osteomyelitis of one or more long bone were reviewed to devise a classification system. We undertook reliability studies of the proposed classification system. Five observers classified the selected radiographs of 32 patients on two separate occasions. RESULTS: The classification divides the condition into 3 main types: type A--Brodie's abscess, type B--sequestrum involucrum, and type C--sclerotic. Type B has four subtypes. Intraobserver agreement was 95% for the main types and 77% (kappa coefficient 0.7) with the subtypes. Interobserver agreement was 95% to 97% for the main types and 78% (multirater kappa=0.54) for the subtypes. CONCLUSIONS: The results suggest that our classification system for chronic hematogenous osteomyelitis in children is reliable.
BACKGROUND: Childhood hematogenous chronic osteomyelitis remains a serious cause of morbidity throughout the developing world. The aim of our study was to develop a reliable and clinically useful classification system for this condition in children. METHODS: The case notes and radiographs of 87 children with chronic hematogenous osteomyelitis of one or more long bone were reviewed to devise a classification system. We undertook reliability studies of the proposed classification system. Five observers classified the selected radiographs of 32 patients on two separate occasions. RESULTS: The classification divides the condition into 3 main types: type A--Brodie's abscess, type B--sequestrum involucrum, and type C--sclerotic. Type B has four subtypes. Intraobserver agreement was 95% for the main types and 77% (kappa coefficient 0.7) with the subtypes. Interobserver agreement was 95% to 97% for the main types and 78% (multirater kappa=0.54) for the subtypes. CONCLUSIONS: The results suggest that our classification system for chronic hematogenous osteomyelitis in children is reliable.
Authors: Pia Afzelius; Aage Ko Alstrup; Henrik C Schønheyder; Per Borghammer; Svend B Jensen; Dirk Bender; Ole L Nielsen Journal: Am J Nucl Med Mol Imaging Date: 2016-11-30
Authors: Andrew J Hotchen; Maria Dudareva; Jamie Y Ferguson; Parham Sendi; Martin A McNally Journal: Bone Joint Res Date: 2019-11-02 Impact factor: 5.853
Authors: Elysia A Masters; Benjamin F Ricciardi; Karen L de Mesy Bentley; T Fintan Moriarty; Edward M Schwarz; Gowrishankar Muthukrishnan Journal: Nat Rev Microbiol Date: 2022-02-15 Impact factor: 78.297
Authors: Andrew J Stevenson; Henry Wynn Jones; Linda C Chokotho; Verona L L Beckles; William J Harrison Journal: J Orthop Surg Res Date: 2015-09-17 Impact factor: 2.359