Journal of Foot and Ankle Surgery
Volume 48, Issue 1 , Pages 39-46 , January 2009

Combined Clinical and Laboratory Testing Improves Diagnostic Accuracy for Osteomyelitis in the Diabetic Foot

  • Adam E. Fleischer, DPM, MPH

      Affiliations

    • Assistant Professor of Radiology, Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, IL
    • Department of Surgery, Advocate Illinois Masonic Medical Center, Chicago, IL
    • Corresponding Author InformationAddress correspondence to: Adam E. Fleischer, DPM, MPH, FACFAS, Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, 3471 Green Bay Road, North Chicago, IL 60064
    • ,
  • Adam A. Didyk, DPM

      Affiliations

    • Attending Staff, Arlington USMD Surgical Hospital, Arlington TX
    • ,
  • Jason B. Woods, BS

      Affiliations

    • Podiatric Medical Student, Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, IL
    • ,
  • Sarah E. Burns, BS

      Affiliations

    • Podiatric Medical Student, Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, IL
    • ,
  • James S. Wrobel, DPM, MS

      Affiliations

    • Associate Professor of Medicine and Director, Scholl's Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine and Science, North Chicago, IL
    • ,
  • David G. Armstrong, DPM, PhD

      Affiliations

    • Professor of Surgery and Director, Southern Arizona Limb Salvage Alliance (SALSA), University of Arizona College of Medicine, Tucson, AZ

References 

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  2. Reiber GE. Epidemiology of foot ulcers and amputations in the diabetic foot. In:  Bowker JH,  Pfeifer MA editor. Levin and O'Neal's The Diabetic Foot. ed 6. St. Louis: Mosby; 2001;p. 13–32
  3. Lavery LA, Armstrong DG, Peters EJG, Lipsky BA. Probe to bone test for diagnosing diabetic foot osteomyelitis: reliable or relic?. Diabetes Care. 2007;30:270–274
  4. Newman LG, Waller J, Palestro CJ, Schwartz M, Klein MJ, Hermann G, et al. Unsuspected osteomyelitis in diabetic foot ulcers: diagnosis and monitoring by leukocyte scanning with indium In 111 oxyquinoline. JAMA. 1991;266:1246–1251
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  16. Vesco L, Boulahdour H, Hamissa S, Kretz S, Montazel JL, Perlemuter L, et al. The value of combined radionuclide and magnetic resonance imaging in the diagnosis and conservative management of minimal or localized osteomyelitis of the foot in diabetic patients. Metabolism. 1999;48:922–927
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 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(08)00371-2

doi: 10.1053/j.jfas.2008.09.003

Journal of Foot and Ankle Surgery
Volume 48, Issue 1 , Pages 39-46 , January 2009

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