Toe ulcers and early diagnosis of osteomyelitis in diabetic patients:

Foot & Ankle Orthopaedics

Maria Gala SantiniAraujo¹ 

关键词: MRI;    Diabetic foot;    ulcers;    osteomyelitis;    bone biopsy;   

DOI  :  10.1177/2473011418S00418

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:DiabetesIntroduction/Purpose:Neuropathy and Peripheral arterial disease are the main causes of diabetic foot ulcers. Toes are the most frequent location. Osteomyelitis diagnosis of foot ulcers is still controversial, mainly in ulcers without bone exposure. Although MRI has 90% sensitivity and 85% specificity for osteomyelitis diagnosis, it is not usually used for early detection of bone changes, due to lack of availability and high cost. Bone biopsy puncture is considered the gold standard methodology together with microbiological and histological examinations, but it is not always available in all practices.The purpose of this study was to describe the diagnosis in forefoot ulcers found in diabetic patients using MRI and bone biopsy puncture.Methods:This is a retrospective study, a case series. Clinical records of patients with injuries limited to toes between January 2013 and December 2015 were analyzed. The inclusion criteria were: patients with Diabetes Mellitus (DM) diagnosis and with a grad...

【 授权许可】

CC BY