Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 690.e1-690.e5, November 2009

The Dot-in-Circle Sign in Madura Foot

  • Lee Parker, BM, MRCS

      Affiliations

    • Specialist Registrar Trauma and Orthopaedic Surgery, Royal National Orthopaedic Hospital, Middlesex, UK
    • Corresponding Author InformationAddress correspondence to: Lee Parker MRCS, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, UK HA7 4LP.
    • ,
  • Dishan Singh, FRCS (Orth)

      Affiliations

    • Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital, Middlesex, UK
    • ,
  • Carlo Biz, MD

      Affiliations

    • Orthopaedic Resident, Padua University Orthopaedic and Trauma Clinic, Padova, Italy

published online 11 September 2009.

The literature states that proper management of Madura foot strongly depends on accurate identification of the causative organism. We describe the case of a patient with Madura foot who was diagnosed with eumycetoma after the dot-in-circle sign, which has been previously reported in regard to magnetic resonance images of this lesion, was observed on both ultrasound and magnetic resonance images. Level of Clinical Evidence: 4

Key Words: actinomycetoma, eumycetoma, granuloma, magnetic resonance, ultrasound

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 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00293-2

doi:10.1053/j.jfas.2009.07.007

Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 690.e1-690.e5, November 2009

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