What Role for the Plain Radiograph of the Diabetic Foot?

Le résumé fourni par la source

Radiography of the foot is used for diagnosis. The accuracy of the diagnosis made from a radiograph is influenced by technical factors, the interpretative skill of the observer, knowledge of the clinical findings and knowledge of the results of other tests, including previous radiographs. The pathologies that might be suspected in a diabetic foot; fracture, Charcot's neuroarthropathy, ulceration with or without osteomyelitis, can all be demonstrated on plain radiography albeit with varying sensitivity and specificity. Peripheral vascular disease is common in diabetes. In the foot and ankle relative sparing of the dorsalis pedis but involvement of the posterior tibial and peroneal arteries is often seen. On plain radiographs small vessel calcification can be seen throughout the foot. Radiographic features suggesting osteomyelitis are bone destruction or demineralization, bone sclerosis, periosteal reaction, and the presence of gas or an ulcer in the adjacent soft tissues.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.