Acute hematogenous osteomyelitis is characterized by an acute infection of the bone caused by the seeding of the bacteria within the bone from a remote source. The most common site is the rapidly growing and highly vascular metaphysis of growing bones. Direct or contiguous inoculation osteomyelitis is caused by direct contact of the tissue and bacteria during trauma or surgery.

Clinical manifestations are more localized and tend to involve multiple organisms. What are the earliest radiographic and bone changes observed during acute hematogenous osteomyelitis? Source: 100 Cases in Orthopedics and Rheumatology