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Bone probing in diabetic foot infection a simple clinical method for the diagnosis of underlying osteomyelitis
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M Nakhjavani   , A Esteghamati , F Emami , M Hoseinzadeh |
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Abstract: (26970 Views) |
| Abstract: Finding a simple clinical method for early and cost-effective diagnosis of osteomyelitis in diabetic patients is of great importance due to high prevalence of diabetic foot infection and the devastating outcome of osteomyelitis. Bone involvement in diabetic foot infection is due to local spread not hematogenous spread. Therefore, bone exposure predisposes bone to osteomyelitis. In this study, diabetic foot ulcers were examined by sterile probe (D/E) to detect exposed bone in the depth of the ulcer and the results were compared with the results of other clinical and paraclinical methods. This study was performed on 35 cases admitted in Imam Khomeini Hospital with a total of 37 pedal ulcers in 1998. Among 37 evaluated ulcers, 17 were positive on probing and 20 were negative on probing. Among 17 positive ulcers, 13 had osteomyelitis. Among 20 ulcers with negative probing, only 5 ulcers had osteomyelitis. The sensitivity, specificity and positive predictive value of bone touch by probing were %78.9, %76.4 and %75, respectively. So, there is strong association between bone touch by probing in the depth of diabetic foot ulcers with the presence of osteomyelitis. |
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| Keywords: Diabetes mellitus, Diabetic foot, Osteomyelitis, Clinical diagnosis |
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Full-Text [PDF 222 kb]
(5595 Downloads)
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Type of Study: Original |
Subject:
Endocrinology
Received: 2006/11/14 | Published: 2000/03/15
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