Neonatal Osteomyelitis

  • Etiology: infectious
  • Imaging: metaphysis is most common location of infection due to slow blood flow, before epiphyseal ossification centers appear (18 months) infection can cross growth plate into epiphysis, continuous periosteal reaction, deep soft tissue edema
  • Clinical: multicentric in 25%

Cases of Neonatal Osteomyelitis

Radiograph of neonatal osteomyelitis
AP radiograph of the right humerus at presentation (left) is unremarkable. AP radiograph of the right humerus 1 month later (right) shows destruction and medial displacement of the epiphysis of the humerus and extensive periosteal reaction along the metaphysis and diaphysis of the humerus.