Imagerie ostéo-articulaire du pied diabétique
| Autor: | C. Kamba, D. Blin, François-Michel Lopez, C. Cyteval, G. Larroque |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Pathology Osteolysis Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Osteomyelitis Microangiopathy medicine.disease Scintigraphy Diabetic foot Surgery Osteosclerosis Peripheral neuropathy Diabetes mellitus medicine Radiology Nuclear Medicine and imaging business |
| Zdroj: | Journal de Radiologie. 87:541-547 |
| ISSN: | 0221-0363 |
| DOI: | 10.1016/s0221-0363(06)74035-5 |
| Popis: | Destruction in diabetic feet is secondary to neuropathy (peripheral and autonomic nervous system) in association with microangiopathy. The loss of sensation to pain and the static trouble lead to increase the pressure in some areas and predispose to pedal skin ulceration, the precursor of osteomyelitis. Plain radiography should be the first step in the evaluation for diagnosis and follow-up. The initial patterns are nonspecific but very rapid evolution associating osteolysis, osteosclerosis and fragmentation lead to the Charcot foot. When osteomyelitis is suspected, scintigraphy with labelled white blood cells and MRI are necessary to differentiate infection from neuropathy. |
| Databáze: | OpenAIRE |
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