Percutaneous image-guided bone biopsy of osteomyelitis in the foot and pelvis has a low impact on guiding antibiotics management: a retrospective analysis of 60 bone biopsies.

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 Radiol

journal_title

Skeletal radiology

authors

Said N,Chalian M,Fox MG,Nacey NC

doi

10.1007/s00256-019-3152-4

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1385-1391

issue

9

eissn

0364-2348

issn

1432-2161

pii

10.1007/s00256-019-3152-4

journal_volume

48

pub_type

杂志文章
  • The value of ultrasound after shoulder arthroplasty.

    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

    authors: Westhoff B,Wild A,Werner A,Schneider T,Kahl V,Krauspe R

    更新日期:2002-12-01 00:00:00

  • Clinical and radiological findings in Brazilian patients with mucolipidosis types II/III.

    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

    authors: Ceroni JRM,Spolador GM,Bermeo DS,Honjo RS,de Oliveira LAN,Bertola DR,Kim CA

    更新日期:2019-08-01 00:00:00

  • Synovial chondromatosis in a lumbar apophyseal joint.

    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

    authors: Burrafato V,Campanacci DA,Franchi A,Capanna R

    更新日期:1998-07-01 00:00:00

  • MRI of the lumbar spine at 7 Tesla in healthy volunteers and a patient with congenital malformations.

    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

    authors: Grams AE,Kraff O,Umutlu L,Maderwald S,Dammann P,Ladd ME,Forsting M,Gizewski ER

    更新日期:2012-05-01 00:00:00

  • Shoulder girdle lipomatosis.

    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

    authors: McEachern A,Janzen DL,O'Connell JX

    更新日期:1995-08-01 00:00:00

  • Imaging of painful scoliosis.

    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

    authors: Davies A,Saifuddin A

    更新日期:2009-03-01 00:00:00

  • Longitudinal stress fracture: patterns of edema and the importance of the nutrient foramen.

    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

    authors: Craig JG,Widman D,van Holsbeeck M

    更新日期:2003-01-01 00:00:00

  • Intraarticular epithelioid sarcoma.

    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

    authors: Hurtado RM,McCarthy E,Frassica F,Holt PA

    更新日期:1998-08-01 00:00:00

  • Cortical desmoid of the humerus: radiographic and MRI correlation.

    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

    authors: Kay M,Counsel P,Wood D,Breidahl W

    更新日期:2017-07-01 00:00:00

  • Hemi-pelvic slope is correlated with the acetabular depth in adults-a radiological study.

    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

    authors: Sadeghi-Naini M,Taghipour S,Savadkouhi AG,Kuzyk P,León SA,Ghazavi M,Abolghasemian M

    更新日期:2018-08-01 00:00:00

  • Bilateral avulsion fractures of the anterior superior iliac spines in sprinters.

    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

    authors: Khoury MB,Kirks DR,Martinez S,Apple J

    更新日期:1985-01-01 00:00:00

  • Painful swelling in the proximal third of the arm.

    abstract:: ...

    journal_title:Skeletal radiology

    pub_type:

    doi:10.1007/s00256-018-2997-2

    authors: Aparisi Gómez MP,Aparisi F,Bazzocchi A

    更新日期:2018-12-01 00:00:00

  • Magnetic resonance imaging appearance of partial latissimus dorsi muscle tendon tear.

    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

    authors: Le HB,Lee ST,Lane MD,Munk PL,Blachut PA,Malfair D

    更新日期:2009-11-01 00:00:00

  • Coronoid process of the ulna: paleopathologic and anatomic study with imaging correlation. Emphasis on the anteromedial "facet".

    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

    authors: Weber MF,Barbosa DM,Belentani C,Ramos PM,Trudell D,Resnick D

    更新日期:2009-01-01 00:00:00

  • Virtual MR arthroscopy of the wrist joint: a new intraarticular perspective.

    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

    authors: Sahin G,Dogan BE,Demirtaş M

    更新日期:2004-01-01 00:00:00

  • Intra-articular steroid for adhesive capsulitis: does hydrodilatation give any additional benefit? A randomized control trial.

    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

    authors: Paruthikunnan SM,Shastry PN,Kadavigere R,Pandey V,Karegowda LH

    更新日期:2020-05-01 00:00:00

  • In vivo evaluation of early disease progression by X-ray phase-contrast imaging in the adjuvant-induced arthritic rat.

    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

    authors: Yu Y,Xiong Z,Lv Y,Qian Y,Jiang S,Tian Y

    更新日期:2006-03-01 00:00:00

  • Dynamic ultrasound of the subacromial-subdeltoid bursa in patients with shoulder impingement: a comparison with normal volunteers.

    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

    authors: Daghir AA,Sookur PA,Shah S,Watson M

    更新日期:2012-09-01 00:00:00

  • Flexor carpi radialis brevis: case report of a symptomatic tear.

    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

    authors: Kordahi AM,Sarrel KL,Shah SB,Chang EY

    更新日期:2018-12-01 00:00:00

  • Tenosynovial osteochondromatosis of the tarsal tunnel.

    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

    authors: Sugimoto K,Iwai M,Kawate K,Yajima H,Takakura Y

    更新日期:2003-02-01 00:00:00

  • Chondrosarcoma of the short tubular bones of the hands and feet.

    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

    authors: Cawte TG,Steiner GC,Beltran J,Dorfman HD

    更新日期:1998-11-01 00:00:00

  • Semimembranosus tendon avulsion fracture of the posteromedial tibial plateau associated with posterior cruciate ligament tear and capsular rupture.

    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

    authors: Khoshnoodi P,Tehranzadeh AD,Dunn JM,Tehranzadeh J

    更新日期:2014-02-01 00:00:00

  • MR imaging of flexor digitorum accessorius longus.

    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

    authors: Cheung YY,Rosenberg ZS,Colon E,Jahss M

    更新日期:1999-03-01 00:00:00

  • MR imaging based strategies in limb salvage surgery for osteosarcoma of the distal femur.

    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

    authors: van Trommel MF,Kroon HM,Bloem JL,Hogendoorn PC,Taminiau AH

    更新日期:1997-11-01 00:00:00

  • Update on imaging of non-infectious musculoskeletal complications of HIV infection.

    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

    authors: Booth TC,Chhaya NC,Bell JR,Holloway BJ

    更新日期:2012-11-01 00:00:00

  • Comparison of [18 F]FDG PET/CT and MRI in the diagnosis of active osteomyelitis.

    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

    authors: Demirev A,Weijers R,Geurts J,Mottaghy F,Walenkamp G,Brans B

    更新日期:2014-05-01 00:00:00

  • An assessment of fluid-fluid levels on magnetic resonance imaging of spinal tumours.

    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

    authors: Singla N,Junaid SE,Siddiqui M,Malhotra K,Saifuddin A

    更新日期:2020-09-25 00:00:00

  • Accuracy of plain films, and the effect of experience, in the assessment of ankle effusions.

    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

    authors: Karchevsky M,Schweitzer ME

    更新日期:2004-12-01 00:00:00

  • POEMS syndrome: radiographic appearance with MRI correlation.

    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

    authors: Chong ST,Beasley HS,Daffner RH

    更新日期:2006-09-01 00:00:00

  • Sclerosing epithelioid fibrosarcoma: short T2 on MR imaging.

    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

    authors: Christensen DR,Ramsamooj R,Gilbert TJ

    更新日期:1997-10-01 00:00:00