Presentation
Opening into the foot discharging pus. Twenty years of history of diabetes mellitus.
Patient Data
Extensive bone marrow signal changes (T1 hypointense, T2 and PD hyperintense) involving the calcaneus compatible with osteomyelitis.
A sinus tract starts from the calcaneus base into the skin on the plantar aspect medial side.
Abnormal bone marrow signal isointense on T1 and hyperintense on T2/PD FS images involving the midfoot bones is suggestive of osteitis.
Extensive edema and fluid signal intensity also are seen within the midfoot and hindfoot intrinsic muscles and subcutaneous tissues.
Achilles tendinopathy and plantar fascia calcaneus insertion tear also are the other findings.
Case Discussion
Typical findings of calcaneus osteomyelitis in patients with a diabetic foot.
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