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Skeletal Radiology
Published in:

26-12-2023 | Osteomyelitis | Review Article

Imaging of MSK infections in the ER

Authors: Andrew Kompel, Ali Guermazi

Published in: Skeletal Radiology | Issue 10/2024

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Abstract

Musculoskeletal infections in the ER are not an uncommon presentation. The clinical context is critical in determining the suspicion for infection and degree of tissue involvement which can involve all layers from the skin to bones. The location, extent, and severity of clinically suspected infection directly relate to the type of imaging performed. Uncomplicated cellulitis typically does not require any imaging. Localized and superficial infections can mostly be evaluated with ultrasound. If there is a diffuse site (an entire extremity) or suspected deeper involvement (muscle/deep fascia), then CT is accurate in diagnosing, widely available, and performed quickly. With potential osseous involvement, MRI is the gold standard for diagnosing acute osteomyelitis; however, it has the drawbacks of longer scan times, artifacts including patient motion, and limited availability.
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Metadata
Title
Imaging of MSK infections in the ER
Authors
Andrew Kompel
Ali Guermazi
Publication date
26-12-2023
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 10/2024
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-023-04554-7

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