Abstract:
OBJECTIVE:Image-guided percutaneous bone biopsy may be requested by clinicians to guide antibiotics management decisions in patients with extremity osteomyelitis. Much of the clinical literature describes a high rate of bone biopsy culture positivity in patients with osteomyelitis, but anecdotally biopsy is felt to be fairly low yield in many musculoskeletal radiology practices. The objective of the study is to determine the culture positivity rate and clinical utility of bone biopsy in guiding the management of patients with osteomyelitis. MATERIALS AND METHODS:All image-guided bone biopsy procedures of the pelvis or foot performed at a single institution were identified by a retrospective report search, and only those with a clinical suspicion for infection were included. Cases were included based on convincing imaging findings of osteomyelitis on retrospective review. Microbiology results were reviewed in the clinical chart, as were antibiotics management decisions and response to antibiotics therapy. RESULTS:A total of 60 bone biopsies met the inclusion criteria, 25 within the foot and 35 biopsies of the pelvis. Overall, 11 out of 60 core biopsies (18%) yielded positive cultures. Antibiotics management was altered in only 27% patients with a positive culture; thus, only 5% of patients with MRI findings of osteomyelitis undergoing biopsy had an impact on management. CONCLUSION:Percutaneous bone biopsies may have a low rate of culture positivity, and even when positive, frequently do not have an impact on antibiotics choice. These data differ from much of the clinical literature, which describes a very high rate of culture positivity.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Said N,Chalian M,Fox MG,Nacey NCdoi
10.1007/s00256-019-3152-4subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1385-1391issue
9eissn
0364-2348issn
1432-2161pii
10.1007/s00256-019-3152-4journal_volume
48pub_type
杂志文章abstract:OBJECTIVE:This study was undertaken to evaluate whether sonography is a useful tool in the diagnosis of soft tissue disorders as a possible cause for discomfort and/or pain after shoulder arthroplasty. DESIGN AND PATIENTS:Static and dynamic ultrasound examinations were performed in the standard sectional planes on 22 ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0555-3
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:The present study aims to provide orientation for clinicians and radiologists to recognize the most prevalent findings leading to diagnosis in mucolipidosis from a description of the natural history of five Brazilian cases. MATERIALS AND METHODS:We conducted an observational and retrospective study of five p...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-019-3159-x
更新日期:2019-08-01 00:00:00
abstract::A 31-year-old woman presented with painful swelling in the right paravertebral region that had been present for 2 years. Radiography and CT revealed an area of increased density due to multiple calcifications localized at the fourth lumbar vertebra. Histological examination revealed that the lesion consisted of nodule...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050403
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate sequences that are established at lower magnetic field strengths for lumbar spine imaging at 7 Tesla (7 T) MR imaging. MATERIALS AND METHODS:The lumbar spine of five healthy volunteers and a patient with spina bifida and meningocele were evaluated at 7 T. The examination...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1197-0
更新日期:2012-05-01 00:00:00
abstract::Shoulder girdle lipomatosis is a distinct type of lipomatosis which has unique clinical and radiographic features. The MR findings reflect the pathologic findings and, in our opinion, allow the differentiation of shoulder girdle lipomatosis from other lipomatous masses on the basis of imaging findings alone. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00941252
更新日期:1995-08-01 00:00:00
abstract::Scoliosis is defined as a lateral deviation of the spine from the normal plumb line. Commonly, there is a rotational component and deviation also in the sagittal plane (kyphosis or hyperlordosis). When scoliosis presents in adults, it is often painful. In contrast, back pain in a child is considered rare, and serious ...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-008-0517-5
更新日期:2009-03-01 00:00:00
abstract:DESIGN AND PATIENTS:We reviewed the MR appearances of six cases of longitudinal stress fracture of the lower extremity. RESULTS:One fracture was in the femur and five were in the tibia. Four of the tibial fractures showed edema starting in the mid-tibia at the level of the nutrient foramen with the fracture on the ant...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0597-6
更新日期:2003-01-01 00:00:00
abstract::A case of an intraarticular epithelioid sarcoma is presented. The patient was a 35 year old man who presented with a 10 months history of a chronic monoarthritis. The MRI showed a diffuse lesion involving the synovial membrane of the knee. There was a marked increased signal on T2 weighted images. Most epithelioid sar...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050417
更新日期:1998-08-01 00:00:00
abstract::Cortical desmoids are self-limiting fibro-osseous lesions commonly occurring at the medial supracondylar femur in active adolescents, at either the origin of the medial head of the gastrocnemius or at the insertion of the adductor magnus aponeurosis. Less commonly, in a similar demographic, cortical desmoids may occur...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2638-1
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine if there is an anatomic relationship between pelvic geometry and acetabular depth. MATERIALS AND METHODS:One hundred and fifty-one anteroposterior pelvic radiographs (157 hip joints) were selected and analyzed in a retrospective fashion. Six parameters, including il...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-2892-x
更新日期:2018-08-01 00:00:00
abstract::Three cases of bilateral pelvic avulsion fractures in adolescent sprinters are reviewed. An-acute avulsion fracture of the anterior superior iliac spine (ASIS) occurred during active running in three teenaged sprinters. Radiography confirmed a healed fracture of the contralateral ASIS. The clinical features and radiol...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00349098
更新日期:1985-01-01 00:00:00
abstract:: ...
journal_title:Skeletal radiology
pub_type:
doi:10.1007/s00256-018-2997-2
更新日期:2018-12-01 00:00:00
abstract::There is still a paucity of information about the clinical presentation, treatment and imaging findings of latissimus muscle tears. Only one study has specifically described the magnetic resonance imaging (MRI) features of latissimus tendon tears. We describe a case of a high-grade tear in the latissimus muscle tendon...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0717-7
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to provide a detailed description of the anatomy of the coronoid process of the ulna and to use magnetic resonance (MR) images and anatomic correlation with cadavers to show the macroscopic configuration of this structure. MATERIALS AND METHODS:Photography and high-resolution ra...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0556-y
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to investigate whether virtual MR arthroscopy could be used to visualize the internal architecture of the radiocarpal compartment of the wrist joint in comparison to surgical arthroscopy. DESIGN:Diluted paramagnetic contrast material was injected into the radiocarpal compartment prio...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00256-003-0704-3
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVES:To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome based on the type of int...
journal_title:Skeletal radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00256-019-03316-8
更新日期:2020-05-01 00:00:00
abstract:PURPOSE:To study the early change of bone matrix and soft tissue around articulation in adjuvant-induced arthritic (AIA) rats non-invasively by X-ray phase-contrast imaging (XPCI), a new imaging method. MATERIALS AND METHODS:Adjuvant-induced arthritis was established in male Sprague-Dawley (SD) rats (n=6, age 40 days)...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0026-8
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to determine if the thickness of the subacromial-subdeltoid (SASD) bursa during dynamic ultrasound and on static views differs between patients with shoulder impingement syndrome and healthy volunteers. MATERIALS AND METHODS:Twenty-two patients with a clinical diagnosis of should...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1295-z
更新日期:2012-09-01 00:00:00
abstract::Anatomical variants of muscle are commonly encountered by surgeons and radiologists. The flexor carpi radialis brevis (FCRB) is an anomalous muscle in the distal forearm with an estimated prevalence of 2-8%. In the literature, there are a few case reports of symptomatic FCRB tenosynovitis without a concomitant tear, a...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-018-2971-z
更新日期:2018-12-01 00:00:00
abstract::A case of tenosynovial osteochondromatosis in the tarsal tunnel in a 23-year-old man is presented. The lesion was treated surgically, and multiple osteochondromas were excised, which had no continuity with any tarsal bone or joint cavity but did with the sheaths of the flexor digitorum longus and flexor hallucis longu...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0594-9
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:To report 12 cases of chondrosarcoma in a rare location, the short tubular bones of the hands and feet, as well as 12 cases of enchondroma in similar locations, emphasizing the radiologic and histopathologic features. DESIGN AND PATIENTS:All relevant cases that had both histologic slides and radiographs avai...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050448
更新日期:1998-11-01 00:00:00
abstract::Semimembranosus tendon avulsion fractures are an uncommon occurrence and are often associated with anterior cruciate ligament (ACL) and medial meniscus tears. We present the imaging features of an unusual case of semimembranosus avulsion fracture of the posteromedial tibial plateau associated with posterior cruciate l...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1719-z
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:The flexor digitorum accessorius longus muscle (FDAL), an anomalous muscle about the ankle, has recently been implicated in tarsal tunnel syndrome. The purpose of this study is to document the prevalence of the FDAL, its MR appearance and its relation to the neurovascular bundle in the tarsal tunnel. DESIGN ...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002560050489
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To analyse to what extent MR imaging based decisions were correct in determining the surgical procedure in patients with osteosarcoma of the distal femur. DESIGN:We compared the findings on MR imaging that determined the surgical strategy with the actual surgical findings or histopathological specimen. We as...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050302
更新日期:1997-11-01 00:00:00
abstract::Acquired immunodeficiency syndrome (AIDS) results from infection with human immunodeficiency virus (HIV), producing an immunodeficient state and severe pathology across multiple organ systems. Musculoskeletal involvement is particularly prevalent in this population with both infectious and non-infectious complications...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-012-1425-2
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:In diagnosing osteomyelitis (OM) both MRI and [18 F]FDG PET-CT proved to be accurate modalities. In anticipation of the advent of hybrid PET/MRI scanners we analyzed our patient group to give direction to future imaging strategies in patients with suspected OM. MATERIALS AND METHODS:In this retrospective stu...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1844-3
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To assess the degree of fluid-fluid levels on MRI in spinal tumours compared with final diagnosis, and the outcome of needle biopsy in such cases. MATERIALS AND METHODS:Retrospective review of patients with a spinal tumour that contained fluid-fluid levels. Data collected included age, sex, spinal location, ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03621-7
更新日期:2020-09-25 00:00:00
abstract:OBJECTIVE:To investigate the accuracy of plain radiographs, and the effect of observer experience, in the assessment of ankle effusions compared with an MRI gold standard. DESIGN AND PATIENTS:Anteroposterior (AP) and lateral radiographs of the ankle of 39 patients were evaluated by four observers, ranging from first-y...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0833-3
更新日期:2004-12-01 00:00:00
abstract::POEMS syndrome is a rare disorder in which patients present with the hallmark signs of polyneuropathy, organomegaly, endocrinopathy, M protein and skin changes. Many other clinical findings are also often present, most notably osseous lesions. The MRI appearance of the bony lesions in POEMS syndrome has been described...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0941-8
更新日期:2006-09-01 00:00:00
abstract::A case of sclerosing epithelioid fibrosarcoma and its appearance on MRI is presented. The tumor showed a zonal architecture on MRI with a large central core of very low signal intensity and a peripheral rim of intermediate to high signal intensity on T1- and T2-weighted spin echo pulse sequences. The core showed decre...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050297
更新日期:1997-10-01 00:00:00