Musculoskeletal infection of the extremities: evaluation with MR imaging.

Abstract:

:Magnetic resonance (MR) imaging was performed in 17 patients, 11-84 years of age, referred for evaluation of possible osteomyelitis involving the appendicular skeleton. MR imaging permitted successful identification of osteomyelitis in ten patients (four acute, two subacute with Brodie abscess, two chronic, and two acute with septic arthritis) and of cellulitis in the absence of osteomyelitis in four patients, including one with a soft-tissue abscess. Active osteomyelitis was excluded in three patients. Both T1- and T2-weighted spin-echo sequences were needed to evaluate osteomyelitis. T2-weighted images were needed to identify foci of active infection. MR images provided more accurate and detailed information regarding the extent of involvement than did radionuclide bone scans, computed tomographic scans, or standard radiographs. It permitted the differentiation of septic arthritis or cellulitis from osteomyelitis. In this limited series, MR imaging was particularly useful for seeking foci of active infection in areas of chronic osteomyelitis complicated by surgical intervention or fracture.

journal_name

Radiology

journal_title

Radiology

authors

Tang JS,Gold RH,Bassett LW,Seeger LL

doi

10.1148/radiology.166.1.3336680

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

205-9

issue

1 Pt 1

eissn

0033-8419

issn

1527-1315

journal_volume

166

pub_type

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