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Κ. Παπαγιάννης και συν. Απεικονιστικός έλεγχος των σημαντικότερων επιπλοκών του διαβητικού ποδιού. Ανασκόπηση βάσει περιστατικού
heel ulcer and pyrexia. The major laboratory findings as
well as the results of bone specimen cultures obtained
through bone biopsy are listed. The most significant
imaging findings are presented, with an emphasis on
a multimodality approach, including MRI, CT scans
and X-rays, during the course and progression of the
affliction within a time period of 15 months.
Finally, the dominant imaging findings of the major
complications of the diabetic foot are discussed, with a
particular emphasis on those that can help differentiate
between osteomyelitis and neuropathic arthropathy.
Keywords:
Diabetic foot, complications of diabetic foot,
osteomyelitis, neuropathic arthropathy, Charcot joint,
plain radiographs, computed tomography, magnetic
resonance imaging
1
Department of medical imaging, “Amalia Flem-
ing” General Hospital
2
“D. Voyatzoglou” Diabetic Foot Clinic, “Amalia
Fleming” General Hospital
ΒΙΒΛΙΟΓΡΑΦΙΑ
1. Tehranzadeh, J. Musculoskeletal Imaging Cases.
California: McGraw-Hill Professional, 2009; 702-703.
2. Pogonowska MJ, Collins LC, Dobson HL:Diabetic
osteopathy. Radiology 1967; 89:265-71.
3. Helms A C. Musculoskeletal MRI, 2nd ed. Philadelphia,
PA: WB Saunders, 2009; 107-109.
4. Helms A C. Musculoskeletal MRI, 2nd ed. Philadelphia,
PA: WB Saunders, 2009; 421-423.
5. Sella EJ, Barrette C. Staging of Charcot neuroarthropathy
along the medial column of the foot in the diabetic patient.
J Foot Ankle Surg 1999; 38:34-40.
6. Lipsky BA, Pecoraro RE, Chen MS, Koepsell TD. Factors
affecting staphylococcal colonization among NIDDM
outpatients. Diabetes Care 1987; 10:483–6.
7. Clouse ME, Gramm HF, Legg M, Hood T. Diabetic
osteoarthropathy. Cl inical and roentgenographic
observations in 90 cases. Am. .J. Roentgenol., 121: 22-
34, 1974.
8. Schumacher JR HR. Secondary osteoarthritis. In:
Moskowitz RW, Howell DS, Goldberg VM, Mankin
HJ, editors. Osteoarthritis: diagnosis and management.
Philadelphia, PA: WB Saunders, 1984:234-64.
9. Murray, RD J. A-Z of musculoskeletal and trauma
radiology. Cambridge: Cambridge University Press,
2008; 34-35.
10. LedermannHP,MorrisonWB, SchweitzerME.MR image
analysis of pedal osteomyelitis: distribution, patterns
of spread, and frequency of associated ulceration and
septic arthritis. Radiology2002; 223:747 –755.
11. Morrison WB, Ledermann HP. Work-up of the diabetic
foot. Radiol Clin North Am 2002; 40:1171–1192.
12. Palestro CJ, Torres MA. Radionuclide imaging in
orthopedic infections. Semin Nucl Med1997; 27: 334–
345.
13. Tomas MB, Patel M, Marwin SE, Palestro CJ. The
diabetic foot. Br J Radiol 2000; 73:443-450.
14. Gold RH, Tong DJ, Crim JR, Seeger LL. Imaging the
diabetic foot. Skeletal Radiol 1995; 24:563-571.
15. Blume PA, Dey HM, Daley LJ, Arrighi JA, Soufer R,
Gorecki GA. Diagnosis of pedal osteomyelitis with Tc-
99m HMPAO labeled leukocytes. J Foot Ankle Surg
1997; 36:120-126.
16. Craig JG, Amin MB, Wu K, et al. Osteomyelitis of
the diabetic foot: MR imaging-pathologic correlation.
Radiology 1997; 203:849-855.
17. Donovan A, Schweitzer ME. Use of MR imaging
in diagnosing diabetes-related pedal osteomyelitis.
RadioGraphics2010; 30 :723-736.
18. Morrison WB, Schweitzer ME, Batte WG, Radack DP,
Russell KM. Osteomyelitis of the foot: relative importance
of primary and secondary MR imaging signs. Radiology
1998; 207:625-632.
19. Tan PL, Teh J. MRI of the diabetic foot: differentiation
of infection from neuropathic change. Br J Radiol 2007;
80(959):939–948.
20. Ahmadi ME, Morrison WB, Carrino JA, Schweitzer ME,
Raikin SM, Ledermann HP. Neuropathic arthropathy of
the foot with and without superimposed osteomyelitis:
MR imaging characteristics. Radiology2006; 238:622
-631.
21. American College of Radiology. ACR Appropriateness
Criteria®: Suspected Osteomyelitis of the Foot in
Patients with Diabetes Mellitus. Available at: http://
www.acr.org/~/media/ACR/Documents/AppCriteria/
Diagnostic/SuspectedOsteomyelitisFootInPatientsWith
DiabetesMellitus.pdf.
22. Marcus CD, Ladam-Marcus VJ, Leone J, Malgrange D,
Bonnet-Gausserand FM, Menanteau BP. MR imaging of
osteomyelitis and neuropathic osteoarthropathy in the
feet of diabetics. RadioGraphics 1996; 16:1337-1348 .
23. Lipsky BA, Berendt AR, Deery HG, et al. Diagnosis
and treatment of diabetic foot infections. Clin Infect Dis
2004; 39:885-910.