Osteomyelitis

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

One month history of right lateral foot ulcer on a background of known diabetes mellitus

Patient Data

Age: 70 years
Gender: Male

Right foot radiographs

x-ray

There is dressing overlying the fifth digit with a soft tissue defect in keeping with an ulcer. Demineralization with cortical breaches in the 5th metatarsal head and dorsal dislocation of the 5th metatarsophalangeal joint. Findings are those of osteomyelitis.

Case Discussion

Classic presentation and radiographic appearances of osteomyelitis: a diabetic patient with an ulcer in the foot and x-ray showing regional osteopenia with bone lysis/cortical loss within the bones underneath the ulcer. 

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