Osteomyelitis and Septic Arthritis of the Foot and Ankle: Imaging Update.
| Autor: | Zaki I; Department of Radiology, Benha University Hospital, El-Shaheed Farid Nada, Qism Banha, Al Qalyubia Governorate, Banha, Egypt., 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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| Jazyk: | angličtina |
| Zdroj: | Foot and ankle clinics [Foot Ankle Clin] 2023 Sep; Vol. 28 (3), pp. 589-602. Date of Electronic Publication: 2023 Jun 26. |
| DOI: | 10.1016/j.fcl.2023.05.009 |
| Abstrakt: | 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. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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