Osteomyelitis and Septic Arthritis of the Foot and Ankle: Imaging Update.

Humans Ankle / diagnostic imaging Diabetic Foot / complications Osteomyelitis / diagnostic imaging Magnetic Resonance Imaging / methods Arthritis, Infectious / diagnostic imaging
Diabetic foot MRI Neuropathic osteoarthropathy Osteomyelitis Septic arthritis

Journal

Foot and ankle clinics
ISSN: 1558-1934
Titre abrégé: Foot Ankle Clin
Pays: United States
ID NLM: 9615073

Informations de publication

Date de publication:
Sep 2023
Historique:
medline: 7 8 2023
pubmed: 4 8 2023
entrez: 3 8 2023
Statut: ppublish

Résumé

Radiography is considered the first-line screening exam for clinically suspected osteomyelitis. However, additional evaluation is generally needed. MRI is the definitive diagnostic exam with high sensitivity and specificity combined with excellent anatomic definition. Gadolinium contrast can be useful to detect areas of devitalization before surgery. Bone marrow edema on fluid-sensitive images and low signal intensity on T1-weighted images in the presence of secondary MRI findings, including ulcer, sinus tract, and cellulitis with or without abscess are typical findings of osteomyelitis. If MRI is contraindicated, three phase bone scan can be used. Early diagnosis and treatment is essential.

Identifiants

DOI: 10.1016/j.fcl.2023.05.009 PMID: 37536820
pubmed: 37536820
pii: S1083-7515(23)00093-1
doi: 10.1016/j.fcl.2023.05.009
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

589-602

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Auteurs

Islam Zaki (I)

Department of Radiology, Benha University Hospital, El-Shaheed Farid Nada, Qism Banha, Al Qalyubia Governorate, Banha, Egypt.

William B Morrison (WB)

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Thomas Jefferson University Hospital, 1079a Main Building 132 South 10th Street, Philadelphia, PA 19107, USA. Electronic address: william.morrison@jefferson.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Osteomyelitis and Septic Arthritis of the Foot...
questionsmedicales.fr › Régions du corps › Membres › Membre inférieur › Cheville › Osteomyelitis and Septic Arthritis of the Foot...
questionsmedicales.fr › Maladies endocriniennes › Diabète › Complications du diabète › Neuropathies diabétiques › Pied diabétique › Osteomyelitis and Septic Arthritis of the Foot...
questionsmedicales.fr › Maladies ostéomusculaires › Maladies osseuses › Infections osseuses › Ostéomyélite › Osteomyelitis and Septic Arthritis of the Foot...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Imagerie par résonance magnétique › Osteomyelitis and Septic Arthritis of the Foot...
questionsmedicales.fr › Maladies ostéomusculaires › Maladies articulaires › Arthrite › Arthrite infectieuse › Osteomyelitis and Septic Arthritis of the Foot...