Prevalence of osteomyelitis in non-healing diabetic foot ulcers: Usefulness of radiologic and scintigraphic findings

Diabetes Research and Clinical Practice

Volumn 38, Issue 2, 1997, Pages 123-127

  Balsells, M ^a   Viade J ^a   Millan M ^a   Garcia J R ^a   Garcia Pascual L ^a   Del Pozo, C ^a   Anglada, J ^a  

^a HOSPITAL MÚTUA DE TERRASSA   (Spain)

Author keywords

Bone and leukocyte scanning; Diabetic foot ulcers; Osteomyelitis; Peripheral vascular disease

Indexed keywords

ADULT; AGED; AMPUTATION; ARTICLE; BONE SCINTISCANNING; CLINICAL ARTICLE; DIABETIC FOOT; FEMALE; FOOT ULCER; HUMAN; INFECTION RISK; MALE; OSTEOMYELITIS; PREDICTION; PREVALENCE; SCINTIGRAPHY; ULCER HEALING; VASCULAR DISEASE; WOUND HEALING;

AGED; AMPUTATION; ANGIOGRAPHY; BONE AND BONES; DIABETES MELLITUS, TYPE 2; DIABETIC ANGIOPATHIES; DIABETIC FOOT; FEMALE; HUMANS; LEUKOCYTES; MALE; MIDDLE AGED; OSTEOMYELITIS; PREVALENCE; SENSITIVITY AND SPECIFICITY; SPAIN; TECHNETIUM TC 99M MEDRONATE; TOES; WOUND HEALING;

EID: 0031408123     PISSN: 01688227     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0168-8227(97)00100-9     Document Type: Article

References (15)

1. Pecoraro R.E., Reiber G.E., Burgess E.M. Pathways to diabetic limb amputation. Diabetes Care. 13:1990;513-521.
2. Rith-Najarin S.J., Stolusky T., Gohdes D.M. Identifying diabetic patients at high risk for lower-extremity amputation in a primary health care setting. Diabetes Care. 15:1992;1386-1389.
3. Young M.J., Breddy J.L., Veves A., Boulton A.J. The prediction of diabetic neuropathic foot ulceration using vibration perception thresholds. Diabetes Care. 17:1994;557-560.
4. Newman L.G., Waller J., Palestro Ch.J. et al. Unsuspected osteomyelitis in diabetic foot ulcers. J. Am. Med. Assoc. 266:1991;1246-1251.
5. Bamberger D.M., Daus G.P., Gerding D.N. Osteomyelitis in the feet of diabetic patients. Am. J. Med. 83:1987;653-660.
6. Grayson M.L., Gibbons G.W., Balogh K., Levin E., Karchmer A.W. Probing to bone in infected pedal ulcers. J. Am. Med. Assoc. 273:1995;721-723.
7. Cavanagh P.R., Young M.J., Adams J.E., Vickers K.L., Boulton A.J.M. Radiographic abnormalities in the feet of patients with diabetic neuropathy. Diabetes Care. 17:1994;201-209.
8. Kneenan A.M, Nathaniel L., Tindel L., Alavi A. Diagnosis of pedal osteomyelitis in diabetic patients using current scintigraphic techniques. Arch. Int. Med. 149:1989;2262-2266.
9. Newman L.G., Waller J., Palestro Ch.J., Hermann G., Klein M.J., Schwartz M. et al. Leukocyte scanning with 111-In is superior to magnetic resonance imaging in diagnosis of clinically unsuspected osteomyelitis in diabetic foot ulcers. Diabetes Care. 15:1992;1527-1530.
10. Shauwecker D.S., Park H.M., Burt R.W., Mock B.H., Wellman H.N. Combined bone and Indium-111 leukocyte scans in neuropathic disease. J. Nucl. Med. 29:1988;1651-1655.
11. Jacobsen A.F., Harley J.D., Lipsky B.A., Pecoraro R.E. Diagnosis of osteomyelitis in the presence of soft tissue infection and radiologic evidence of osseous abnormalities. Value of leukocyte scintigraphy. Am. J. Radiol. 157:1991;807-812.
12. Caputo G.M., Cavanagh P.R., Ulbrecht J.S., Gibbons G.W., Karchmer A.W. Assessement and management of foot disease in patients with diabetes. New Engl. J. Med. 331:1994;854-859.
13. Reiber G.E., Pecoraro R.E., Koepsell T.D. Risk factors for amputation in patients with diabetes mellitus: a case control study. Ann. Int. Med. 117:1992;97-105.
14. Pecoraro R.E., Ahroni J.H., Boyko E.J., Stensel V.L. Chronology and determinants of tissue repair in diabetic lower extremity ulcers. Diabetes. 40:1991;1305-1313.
15. Levin M.E. Preventing amputation in the patient with diabetes. Diabetes Care. 18:1995;1383-1392.