Radiography of Pressure Ulcers

Author:

Borgström P. S.,Ekberg O.,Lasson Å.

Abstract

In patients with longstanding and/or deep pressure ulcers radiology is usually consulted. Survey radiography and sinography in 14 patients with pressure ulcers (6 over the tuber ischii and 8 over the femoral trochanter) were evaluated. Osteomyelitic involvement of adjacent bone was revealed in 9 patients on survey radiography. However, it was usually impossible to assess whether or not bony involvement represents healed or active osteomyelitis. Sinography did not contribute to the assessment of whether or not adjacent cortical bone was involved. However, when a fistulation to an adjacent joint was revealed this contributed substantially to the preoperative planning of resection. We therefore recommend that survey radiography and sinography should be included in the evaluation of these patients but that the results from such examinations are critically evaluated. Joint involvement should be taken seriously as progression of septic arthritis usually occurs rapidly.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,General Medicine,Radiological and Ultrasound Technology

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Infective Inflammatory Bone Disease;Magnetic Resonance Imaging of the Bone Marrow;2013

2. Successful Truncated Osteomyelitis Treatment for Chronic Osteomyelitis Secondary to Pressure Ulcers in Spinal Cord Injury Patients;Annals of Plastic Surgery;2008-10

3. Osteomyelitis of the Pelvis/Hips in Paralyzed Patients: Accuracy and Clinical Utility of MRI;Journal of Computer Assisted Tomography;1998-05

4. Pressure ulcers: A review;Archives of Physical Medicine and Rehabilitation;1994-08

5. Osteomyelitis;Handbuch diagnostische Radiologie

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