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Diabetic foot x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]

Overview

Although plain X ray is not successful in osteomyelitis diagnosis within the first weeks of involvement, it is recommended to be performed in any diabetic foot patients with a deep or enduring ulcer. X-rays of the diabetic foot can be helpful in detecting foreign bodies, gas, joint effusion and osteolysis.

X Ray

Examples of X-ray findings in Diabetic Foot

Presence of ulcers at the head of the first, second, and third metatarsal with associated osteomyelitis and significant bone resorption.[5]

References

  1. 1.0 1.1 Lipsky BA (1997). “Osteomyelitis of the foot in diabetic patients”. Clin Infect Dis. 25 (6): 1318–26. doi:10.1086/516148. PMID 9431370.
  2. 2.0 2.1 Lepäntalo, M.; Apelqvist, J.; Setacci, C.; Ricco, J.-B.; de Donato, G.; Becker, F.; Robert-Ebadi, H.; Cao, P.; Eckstein, H.H.; De Rango, P.; Diehm, N.; Schmidli, J.; Teraa, M.; Moll, F.L.; Dick, F.; Davies, A.H. (2011). “Chapter V: Diabetic Foot”. European Journal of Vascular and Endovascular Surgery. 42: S60–S74. doi:10.1016/S1078-5884(11)60012-9. ISSN 1078-5884.
  3. American Diabetes Association (1999). “Consensus Development Conference on Diabetic Foot Wound Care: 7-8 April 1999, Boston, Massachusetts. American Diabetes Association”. Diabetes Care. 22 (8): 1354–60. doi:10.2337/diacare.22.8.1354. PMID 10480782.
  4. Fathimaa, M. Rubina; Rekha, Arcot (2020). “CT Scan of the Foot in Patients with Chronic Non-Healing Diabetic Foot Ulcer”. Case Reports in Clinical Medicine. 09 (11): 335–342. doi:10.4236/crcm.2020.911047. ISSN 2325-7075.
  5. Case courtesy of Dr David Cuete, Radiopaedia.org, rID: 24821

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