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  • Title: Hematogenous osteomyelitis of metaphyseal-equivalent locations.
    Author: Nixon GW.
    Journal: AJR Am J Roentgenol; 1978 Jan; 130(1):123-9. PubMed ID: 413397.
    Abstract:
    Flat and irregular bones have anatomic subdivisions comparable to long bones. This concept is useful in the radiograpic evaluation of solitary bone lesions. Areas adjacent to cartilage are metaphyseal-equivalent locations. Prior to skeletal maturation, metaphyseal-type vascular anatomy predisposes these sites to involvement by hematogenous osteomyelitis. Approximately 30% of cases of hematogenous osteomyelitis affect these metaphyseal-equivalent sites and often present difficult diagnostic challenges. Forty-nine patients with this condition are described.
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