Musculoskeletal Infections

Jung Mi Park, Jae Pil Hwang, Joon Ho Choi, Jang Gyu Cha, Yu Sung Yoon

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Pedal ulcer occurs in approximately 25% of the diabetics. Three-phase bone scan plays a role in the assessment of vascular supply including small arteries and capillary vessels in diabetic foot ulcer. Peri-prosthetic joint infection occurs in 1%–2% of primary and in 4% of revision arthroplasties. Serum CRP may be less specific after post-operative infection and antibiotics therapy; however, combined WBC scan with three-phase bone scan can detect peri-prosthetic infection accurately. Charcot neuropathic osteoarthropathy is a non-inflammatory and progressive destruction of the bone and joint. Bone single-photon emission computed tomography/ computed tomography (SPECT/CT) provides an additional anatomical information to distinguish from bone and soft tissue inflammation or infection in evaluating Charcot foot. Typical pyogenic spondylitis affects two adjacent vertebrae and the intervening disc. Differential diagnosis for tuberculous spondylitis could be performed with clinical symptom and imaging findings.

Original languageEnglish
Title of host publicationAtlas of Nuclear Medicine in Musculoskeletal System
Subtitle of host publicationCase-Oriented Approach
PublisherSpringer Nature
Pages3-16
Number of pages14
ISBN (Electronic)9789811926778
ISBN (Print)9789811926761
DOIs
StatePublished - 1 Jan 2022

Keywords

  • Charcot foot
  • Chronic prosthetic
  • Diabetic foot infection
  • Joint infection
  • Pyogenic spondylitis

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