Vestring T, Fiedler R, Greitemann B, Sciuk J, Peters P E
Institut für Klinische Radiologie, Universität Münster.
Radiologe. 1995 Jul;35(7):447-55.
Foot disease in patients with diabetes mellitus is multifactorial and results from a combination of peripheral neuropathy, vascular compromise and superimposed infection. Foot complications in diabetic patients are common and account for more hospital days than any other aspects of their disease. Therefore, familiarity with the spectrum of findings in the different imaging modalities appears essential. Radiographically, significant changes include Charcot joints of the tarsus (destructive type) and bone absorption of the forefoot (mutilating type). In diabetic foot problems, magnetic resonance imaging and leukocyte scintigraphy appear to be the most effective tools for detection of osteomyelitis, and a negative study makes osteomyelitis unlikely. However, the findings of both techniques in active, noninfected neuropathic osteoarthropathy may be indistinguishable from those of osteomyelitis.
糖尿病患者的足部疾病是多因素的，由周围神经病变、血管损伤和叠加感染共同导致。糖尿病患者的足部并发症很常见，且其住院天数比疾病的其他任何方面都多。因此，熟悉不同成像方式的表现范围似乎至关重要。在放射学上，显著变化包括跗骨的夏科关节（破坏型）和前足的骨质吸收（致残型）。在糖尿病足问题中，磁共振成像和白细胞闪烁扫描似乎是检测骨髓炎最有效的工具，检查结果为阴性则骨髓炎可能性不大。然而，在活动性、未感染的神经性骨关节炎中，这两种技术的表现可能与骨髓炎难以区分。
