Osteomyelitis

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Diabetic foot. Osteomyelitis?

Patient Data

Age: 50
Gender: Male
x-ray

Subcortical lucency and cortical destruction centered on the 2nd MTP joint with involved of the both the metastarsal head and base of the proximal phalanx.

The remaining digits are normal in appearance.

 

Case Discussion

Osteomyelitis is very common in diabetics.

The foot is the commonest location, the distal extremities being prone to ulceration, neuropathy and the conditions that may lead to osteomyelitis.

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