مقاله در مورد عفونت استخوان و مفصل به زبان انگلیسی

مقاله در مورد عفونت استخوان و مفصل به زبان انگلیسی

Bone and Joint Infections - Janet Wong, M.D.

چکیده:

What is thought to happen from the hematogenesis standpoint is that the during a course of bacteremia, as the organisms enter into the bone through the nutrient artery towards the growth plate, there are these loose capillaries that are said to have sluggish blood flow in them. It is also thought that maybe there is a fully developed reticulum within this system. There does seem to be evidence of low oxygen within the metaphysis, and we always hear about this preceding history of trauma as a possibly predisposing factor. Perhaps this is simply disruptive blood flow, but the history of trauma to children is common, and it is hard to know what really this is contributing to the pathogenesis. The nutrient artery penetrates into the diaphysis of the bone, moving up into the metaphysis and making a hairpin turn at the epiphysis. This is why it is in a long individual, at least for the tubular long bones, that osteomyelitis is more common at the ends of the bones because of these here hairpin turns.

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