Osteomyelitis

• Osteomyelitis should be suspected when a sterile probe, inserted into the base of an ulcer, penetrates to bone. Usually osteomyelitis will present in association with soft tissue infection. Occasionally it may present as probing to bone in an apparently clean, non-infected ulcer

• It may present as obvious fragmentation of the bone within the ulcer bed which is easily visible

• It is most commonly diagnosed on X-ray (Fig. 5.1 la,b). Loss of cortex, fragmentation and bony destruction on X-ray are signs of osteomyelitis

• Chronic osteomyelitis of a toe has a swollen, red, sausage-like appearance (Fig. 5.12).

Rarely, we have seen metastatic infection from a primary infection in the foot.

Sausage Toe And Diabetic Foot Infection
Fig. 5.12 'Sausage toe' with ulceration and cellulitis indicates osteomyelitis.
Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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  • Estella
    How to perfom sausage toe test pedal osteomylitis?
    5 years ago

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