Articles | Volume 8, issue 2
https://doi.org/10.5194/jbji-8-99-2023
https://doi.org/10.5194/jbji-8-99-2023
Original full-length article
 | 
22 Mar 2023
Original full-length article |  | 22 Mar 2023

Outcomes in patients with clinically suspected pedal osteomyelitis based on bone marrow signal pattern on MRI

Christin A. Tiegs-Heiden, Tanner C. Anderson, Mark S. Collins, Matthew P. Johnson, Douglas R. Osmon, and Doris E. Wenger

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Cited articles

Alaia, E. F., Chhabra, A., Simpfendorfer, C. S., Cohen, M., Mintz, D. N., Vossen, J. A., Zoga, A. C., Fritz, J., Spritzer, C. E., Armstrong, D. G., and Morrison, W. B.: MRI nomenclature for musculoskeletal infection, Skeletal Radiol., 50, 2319–2347, https://doi.org/10.1007/s00256-021-03807-7, 2021. 
Crim, J., Salmon, S., Waranch, C., and Elfrink, J.: Update on MRI fndings of osteomyelitis of long bones in the adult population, Skeletal Radiol., 51, https://doi.org/10.1007/s00256-022-04020-w, 1787–1796, 2022. 
Donovan, A. and Schweitzer, M. E.: Use of MR imaging in diagnosing diabetes-related pedal osteomyelitis, Radiographics, 30, 723–736, https://doi.org/10.1148/rg.303095111, 2010. 
Duryea, D., Bernard, S., Flemming, D., Walker, E., and French, C.: Outcomes in diabetic foot ulcer patients with isolated T2 marrow signal abnormality in the underlying bone: should the diagnosis of ”osteitis” be changed to ”early osteomyelitis”?, Skeletal Radiol., 46, 1327–1333, https://doi.org/10.1007/s00256-017-2666-x, 2017. 
Gariani, K., Lebowitz, D., Kressmann B., Gariani J., and Ilker, U.: X-Ray versus magnetic resonace imaging in diabetic foot osteomyelitis: a clinical compariosn, Curr. Diabetes Rep., 17, 373–377, https://doi.org/10.2174/1573399816999200729124134, 2021. 
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Short summary
Magnetic resonance imaging (MRI) is an imaging test that is often used in patients with a suspected bone infection in their foot. MRI findings may impact how these patients are treated; thus, it is important to understand the significance of various MRI findings. This study compared different patterns of MRI findings in these patients to their clinical outcomes. Patients with classic features of bone infection on MRI had the worst outcomes, whereas patients without them sometimes healed.