eMedicine Specialties > Radiology > Musculoskeletal
Osteomyelitis, Chronic: Multimedia
Updated: Feb 10, 2009
Multimedia
 | Media file 1: Osteomyelitis, chronic. Sclerosing osteomyelitis of the lower tibia. Note the bone expansion and marked sclerosis. |
 | Media file 2: Osteomyelitis, chronic. Sequestrum of the lower tibia. |
 | Media file 3: Osteomyelitis, chronic. Image in a 56-year-old man with diabetes shows chronic osteomyelitis of the calcaneum. Note air in the soft tissues. |
 | Media file 4: Osteomyelitis, chronic. Radiograph (left) and isotopic bone scans (right) show sclerosing osteomyelitis of the tibia. |
 | Media file 5: Osteomyelitis, chronic. This 24-year-old man with psoriatic arthropathy presented with pain over the first metatarsal bone, hallux, and heel, with increased plasma viscosity. Radiographs of the right foot show a normal first metatarsal bone, but the cortex of the proximal phalanx of the hallux is irregular (see also Images 6-8). |
 | Media file 6: Osteomyelitis, chronic. Three-phase technetium-99m diphosphonate bone scans (perfusion component) show increased activity in the whole of the heel, the tarsus, the proximal and distal phalanges of the hallux, and the proximal phalanx of the second toe (see also Images 5, 7-8). |
 | Media file 7: Osteomyelitis, chronic. Three-phase technetium-99m diphosphonate bone scans (static component) show increased activity in the heel and in the first and second toes and in the fifth tarsotarsometatarsal joint (see also Images 6 and 8). |
 | Media file 8: Osteomyelitis, chronic. Nonenhanced axial CT scans through the first and second toes in the same patient as in Images 5-7 shows cortical irregularity of the distal phalanx of the hallux; this finding is suggestive of chronic osteomyelitis. The final diagnosis was osteomyelitis of the first and second toes, plantar fasciitis, and psoriatic arthritis of the fifth metatarsal-phalangeal joint. |
 | Media file 9: Osteomyelitis, chronic. Plain radiographs show Garrès sclerosing osteomyelitis. |
 | Media file 10: Osteomyelitis, chronic. Technetium-99m diphosphonate bone scans of the same patient as in Image 9 show increased activity in the region with Garrès sclerosing osteomyelitis. |
 | Media file 11: Osteomyelitis, chronic. CT scans show vertebral osteomyelitis associated with a psoas abscess. |
 | Media file 12: Osteomyelitis, chronic. Chest radiograph of a 12-year-old patient presenting with pain and swelling of the left clavicle. Note the expansion, sclerosis, and periosteal reaction of the clavicle (see also Images 13-15). |
 | Media file 13: Osteomyelitis, chronic. Conventional tomograms of the left clavicle of the same patient as in Image 12 show the inflammatory lesion in the clavicle more clearly. |
 | Media file 14: Osteomyelitis, chronic. Short-tau inversion recovery (STIR) MRIs show bone marrow edema of the clavicle and periclavicular fluid (pus). |
 | Media file 15: Osteomyelitis, chronic. T1-weighted nonenhanced (top) and gadolinium-enhanced (bottom) axial MRIs show the enhancement at the inflammatory site in the clavicle (same patient as in Images 12-14). |
 | Media file 16: Osteomyelitis, chronic. Radiographs of the foot of a 52-year-old diabetic man with symptoms show no bone abnormality. |
 | Media file 17: Osteomyelitis, chronic. Radiographs of the foot of the same patient as in Image 16 obtained 2 weeks later show patchy loss of bone density in the distal fourth metatarsal bone. |
 | Media file 18: Osteomyelitis, chronic. Three-phase technetium-99m diphosphonate bone scans of the same patient as in Images 16-17 show increased activity in the third and fourth metatarsal bones and in the third toe. |
 | Media file 19: Osteomyelitis, chronic. Indium-111–labeled WBC scans show an infected right-knee prosthesis. |
 | Media file 20: Osteomyelitis, chronic. A 20-year-old patient underwent intramedullary nail fixation of a tibial fracture 2 years before presenting with a painful leg. Radiographs show no evidence of osteomyelitis. |
 | Media file 21: Osteomyelitis, chronic. Three-phase technetium-99m diphosphonate bone scans in the same patient as in Image 20 show changes suggestive of osteomyelitis. |
 | Media file 22: Osteomyelitis, chronic. This 69-year-old man presented with epigastric pain. Plain radiograph of the lumbar spine shows changes of osteoarthritis (see Images 23-25). |
 | Media file 23: Osteomyelitis, chronic. Axial CT scans show destruction of L1. Note the air in the soft tissues. |
 | Media file 24: Osteomyelitis, chronic. Technetium-99m diphosphonate bone scan in the same patient as in Images 22-23 show increased activity in the upper lumbar spine. |
 | Media file 25: Osteomyelitis, chronic. T1- and T2-weighted sagittal MRIs show bone marrow edema in L1 and obliteration of the disk space between L1 and L2. |
More on Osteomyelitis, Chronic |
| Overview: Osteomyelitis, Chronic |
| Imaging: Osteomyelitis, Chronic |
| Follow-up: Osteomyelitis, Chronic |
 Multimedia: Osteomyelitis, Chronic |
| References |
| « Previous Page |
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Further Reading
Keywords
chronic osteomyelitis, bone infection, bone marrow infection, acute osteomyelitis, subacute osteomyelitis, Garrès sclerosing osteomyelitis, Brodie abscess, tuberculous osteomyelitis, congenital syphilis, acquired syphilis, periosteitis, metaphysitis, sabre tibia
