Case contributed by Dr Ian Bickle


Poorly controlled diabetic. Previous amputation of great toe. New ulceration.

Patient Data

Age: 66
Gender: Female

Great toe amputation at the level of the MTP joint.

Soft tissue swelling at the amputation site.

Extensive cortical destruction and lucency of the 1st metatarsal head and neck.

Periosteal reaction of the mid-shaft of the first metatarsal.

The remaining digits are normal.

Case Discussion

Diabetic patients are very prone to infections of all descriptions, including osteomyelitis.

Poor peripheral circulation contributing to the issue.

Amputations are not infrequent.  Even post amputation a further bout of osteomyelitis is not uncommon.

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Case information

rID: 52379
Published: 5th Apr 2017
Last edited: 5th Apr 2017
Inclusion in quiz mode: Included

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