Surgical Debridement Provided for Fast Recovery in MetaepiphysealHaematogenous Osteomyelitis with Adjacent Subperiostal AbscessFormation in Two Children

Background: Primary metaepiphyseal haematogenous osteomyelitis (HOM) with subperiostal abscess formation at initial admission is a rare but serious condition. A considerate treatment strategy is crucial to avoid damage to the adjacent physics. Methods: Charts and radiographic data of two cases were reviewed and reported in a retrospective study approved by the Institutional Review Board. Results: Two children presented with limping, painful restriction of movement and very mild laboratory findings. No trauma was remembered. Conventional radiography showed no abnormalities, but subsequent MRI revealed metaepiphyseal HOM as well as an adjacent sub-periostal abscess collection. Conclusions: Antibiotic therapy and immediate surgical debridement provided for uncomplicated healing.