'sausage toe': A reliable sign of underlying osteomyelitis

Diabetic Medicine

Volumn 17, Issue 1, 2000, Pages 74-77

  Rajbhandari, Satyan M ^a   Sutton, M ^a   Davies, C ^a   Tesfaye, S ^a   Ward, J D ^a  

^a ROYAL HALLAMSHIRE HOSPITAL   (United Kingdom)

Author keywords

Diabetes mellitus; Osteomyelitis; Sausage toe

Indexed keywords

AMOXICILLIN; ANTIBIOTIC AGENT; CIPROFLOXACIN; CLARITHROMYCIN; CLINDAMYCIN; FLUCLOXACILLIN; FUSIDIC ACID; MEDRONATE TECHNETIUM TC 99M; METRONIDAZOLE;

ADULT; AGED; ANTIBIOTIC THERAPY; ARTICLE; BONE RADIOGRAPHY; BONE SCINTISCANNING; CLINICAL ARTICLE; DIABETES MELLITUS; DIABETIC FOOT; DIABETIC NEUROPATHY; FEMALE; HUMAN; MALE; METATARSOPHALANGEAL JOINT; OSTEOMYELITIS; RADIODIAGNOSIS; TOE MALFORMATION;

ADULT; AGED; DIABETES MELLITUS, TYPE 1; DIABETES MELLITUS, TYPE 2; DIABETIC FOOT; FEMALE; HUMANS; MALE; MIDDLE AGED; OSTEOMYELITIS; TOES;

EID: 0033968406     PISSN: 07423071     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1464-5491.2000.00194.x     Document Type: Article

References (18)

1. 1 Bamberger DM, Daus GP, Gerding DN. Osteomyelitis in the feet of diabetic patients. Long-term results, prognostic factors, and the role of antimicrobial and surgical therapy. Am J Med 1987; 83: 653-660.
2. 2 Grayson ML, Gibbons GW, Balogh K, Levin E, Karchmer AW. Probing to bone in infected pedal ulcers: a clinical sign of underlying osteomyelitis in diabetic patients. J Am Med Assoc 1995; 273: 721-723.
3. 3 Newman I.G, Waller J, Palestro CJ, Schwanz M, Klein MJ, Hermann G et al. Unsuspected osteomyelitis in diabetic foot ulcers. Diagnosis and monitoring by leukocyte scanning wirh indium in 111 oxyquinoline. JAMA 1991; 266: 1246-1251.
4. 4 Edelman D, Matchar D, Oddone ET. Clinical and radiographie findings that lead To intervention in diabetic patients with foot ulcers - a nationwide survey of primary-care physicians. Diabetes Care 1996; 19: 755-757.
5. 5 Segall CM, Nino-Murcia M, Jacobs T, Chang K. The role of bone scan and radiography in the diagnostic evaluation of suspected pedal osteomyelitis. Clin Nuclear Medicine 1989; 14: 255-260.
6. 6 Morrison WB, Schweitzer ME, Wapner KL, Hecht PJ, Gannon FH, Behm WR et al. Osteomyelitis in feet of diabetics: clinical accuracy, surgical utility, and cost-effectiveness of MR imaging. Radiology 1995; 196: 557-564.
7. 7 Brower AC. What is the preferred method of diagnosing osteomyelitis in the foot of a patient with diabetes? Am J Roentgenol 1994; 163: 471-472.
8. 8 Park HM, Wheat LJ, Siddiqui AR, Burt RJ, Robb JA, Ransburg RC et al. Scintigraphic evaluation of diabetic osteomyelitis: concise communication. J Nucl Med 1982; 23: 569-573.
9. 9 Mader JT, Ortiz M, Calhoun JH. Update on the diagnosis and management of osteomyelitis. Infectious Dis 1996; 13: 701-724.
10. 10 Keenan AM, Tindel NL, Alavi A. Diagnosis of pedal osteomyelitis in diahetic patients using current scintigraphic techniques. Arch Intern Med 1989; 149: 2262-2266.
11. 11 Harvey J, Cohen MM. Technetium-99-labeled leukocytes in diagnosing diahetic osteomyelitis in the foot. J Foot Ankle Surg 1997; 36: 209-214.
12. 12 Nijhof MW, Oyen WJ, Van-Kampen A, Ciaessens RA, Van-der-Meer JW, Corstens FH. Evaluation of infections of the locomotor system with indium-111 -labeled human IgG scintigraphy. J Nucl Med 1997; 38: 1300-1305.
13. 13 Park HM, Wheat LJ, Siddiqui AR, Burt RW, Rohh JA, Ranshurg RC et al. Scintigraphic evaluation of diahetic osteomyelitis: concise communication. J Nucl Med 1982; 23: 569-573.
14. 14 Crerand S, Dolan M, Laing P, Bird M, Smith ML, Klenerman L. Diagnosis of osteomyelitis in neuropathic foot ulcers. J Bone Joint Surg Br 1996; 78B: 51-55.
15. 15 Lew DP, Waldvogel FA. Osteomyelitis. N Eng J Med 1997; 336: 999-1007.
16. 16 Nigro ND, Bartynski WS, Grossman SJ, Kruljac S. Clinical impact of magnetic resonance imaging in foot. J Am Podiatr Med Assoc 1992; 82: 603-15.
17. 17 Eckham MH, Greenfield S, Mackey WC, Wong JB, Kaplan S, Sullivan L. Foot infection in diabetic patients: decision and cost-effectiveness analysis. J Am Med Asso 1995; 273: 712-720.
18. 18 Nix DE, Cumbo TJ, Kuritzky P, DeVito JM, Schentag JJ. Oral ciprofloxacin in the treatment of serious soft tissue and bone infections. Efficacy, safety, and pharmacokinetics. Am J Med 1987; 82: 146-153.