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Titolo:
PREVALENCE OF OSTEOMYELITIS IN NONHEALING DIABETIC FOOT ULCERS - USEFULNESS OF RADIOLOGIC AND SCINTIGRAPHIC FINDINGS
Autore:
BALSELLS M; VIADE J; MILLAN M; GARCIA JR; GARCIAPASCUAL L; DELPOZO C; ANGLADA J;
Indirizzi:
HOSP MUTUA TERRASSA,DEPT ENDOCRINOL,PL DR ROBERT 5,APARTADO 183 BARCELONA 08221 SPAIN HOSP MUTUA TERRASSA,DEPT NUCL MED BARCELONA 08221 SPAIN
Titolo Testata:
Diabetes research and clinical practice
fascicolo: 2, volume: 38, anno: 1997,
pagine: 123 - 127
SICI:
0168-8227(1997)38:2<123:POOIND>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
UNSUSPECTED OSTEOMYELITIS; AMPUTATION; DIAGNOSIS; ABNORMALITIES; IN-111; RISK; FEET;
Keywords:
DIABETIC FOOT ULCERS; OSTEOMYELITIS; BONE AND LEUKOCYTE SCANNING; PERIPHERAL VASCULAR DISEASE;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
M. Balsells et al., "PREVALENCE OF OSTEOMYELITIS IN NONHEALING DIABETIC FOOT ULCERS - USEFULNESS OF RADIOLOGIC AND SCINTIGRAPHIC FINDINGS", Diabetes research and clinical practice, 38(2), 1997, pp. 123-127

Abstract

The study was conducted in order to assess the prevalence of osteomyelitis and the predictive value of radiographic (xR) and combined Tc 99-bone and leukocyte scanning (CS) findings in diabetic foot ulcers that met criteria for hospital admission (FUH). Out of 150 episodes of ulceration managed in an outpatient basis, 33 (in 28 NIDDM patients) requiring admission were evaluated. In all cases plain xR and CS were carried out. Seventeen episodes (51.5%) had a good outcome (healed or improving, at the time of the last follow up). Osteomyelitis was found in21 episodes and 14 (66.6%) of them required an amputation. In 13 cases where xR showed characteristic radiologic changes of osteomyelitis (11 of them had a positive CS) 11 (84.6%) underwent an amputation. However, when osteomyelitis was diagnosed only by a positive CS, only 3/8 (37.5%) required a toe amputation. Severe peripheral vasculopathy was present in 44% of cases who required amputation and only in 17.6% of those who did not. We conclude that in FU underlying osteomyelitis is frequent and associated to a higher amputation rare than when no bone infection is identified (66.6 vs 17%), even when corrected for vascularstatus (OR 11, CI 95% 1.65-74.2), with a worse outcome when xR changes are already present. (C) 1997 Elsevier Science Ireland Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 18:33:55