Osteomyelitis in the diabetic foot: diagnosis and management.
Med Clin North Am. 2013 Sep;97(5):947-56
Authors: Game FL
Osteomyelitis of the foot in diabetes is common and frequently undiagnosed. Diagnosis should be clinical and based on signs of infection, the size of the lesion, and the visibility of bone in the first instance but supported by the results of radiologic examination. The gold standard for diagnosis is histologic and microbiological examination of bone, which is not possible or necessary in all patients. There is no consensus as to whether management should be primarily medical or surgical; the pros and cons of each approach must be taken into account on an individual basis and after discussion with patients.
PMID: 23992902 [PubMed - in process]