Neuropathic osteoarthropathy with and without superimposed osteomyelitis in patients with a diabetic foot View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-06

AUTHORS

Antonio Leone, Victor N. Cassar-Pullicino, Alessia Semprini, Laura Tonetti, Nicola Magarelli, Cesare Colosimo

ABSTRACT

Soft tissue and bone infection involving the foot is one of the most common long-term complications of diabetes mellitus, implying a serious impairment in quality of life for patients in the advanced stages of the disease. Neuropathic osteoarthropathy often coexists and differentiating between these two entities is commonly challenging, but crucial, as the management may differ substantially. The importance of correct diagnosis cannot be understated and effective management requires a multidisciplinary approach owing to the complicated nature of therapy in such patients. A missed diagnosis has a high likelihood of major morbidity for the patient, including limb amputation, and over-diagnosis results in a great socioeconomic challenge for healthcare systems, the over-utilization of healthcare resources, and the unwise use of antibiotics. Diagnosis is largely based on clinical signs supplemented by various imaging modalities such as radiography, MR imaging, and hybrid imaging techniques such as F-18 fluorodeoxyglucose-positron emission tomography. In the interests of the management of diabetic foot complications, this review article is aimed on the one hand at providing radiologists with important clinical knowledge, and on the other hand to equip clinicians with relevant radiological semiotics. More... »

PAGES

735-754

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00256-016-2339-1

DOI

http://dx.doi.org/10.1007/s00256-016-2339-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041046848

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26883537


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