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October 10, 1936


Author Affiliations


From the Orthopedic Department of Children's Hospital.

JAMA. 1936;107(15):1188-1193. doi:10.1001/jama.1936.02770410010003

Medical literature of the past twenty years contains very little information relative to bone growth changes resulting from osteomyelitis in children. Speed1 in 1922 called attention to the alteration in adolescent bones following pyogenic infection and made suggestions for their treatment. A review of sixty-four patients, with ninety individual foci of infection, who suffered from acute hematogenous osteomyelitis leads us to believe that disturbances in the conformation of bone are relatively frequent. An attempt has been made to determine: (1) the common variations in the contour of the long bones and the bones of the feet, (2) the relationship of the location of the focus of infection in the individual bone to the subsequent growth disturbances and (3) the bearing of the time of surgical drainage on disturbances of growth.

The ninety foci of infection were distributed as follows: tibia thirty, femur twenty-nine, humerus ten, radius five, os calcis five, fibula three

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