community nutrition and orthopedic center

H

ACUTE OSTEOMYELITIS
This can be primary (haematogenous) or secondary
(following an open fracture or bone operation).
Haematogeous osteomyelitis is the commonest,
and is often seen in children.
RELEVANT ANATOMY
Metaphysis of the long bones (Fig-22.1): It is a
highly vascularised zone. From the diaphysis the
medullary arteries reach up to the growth plate; the
area of greatest activity, and branch into capillaries.
The venous system begins in this area and drains
toward the diaphysis. Thus, the vessels in this
Fig-2