الفهرس 
Gross Anatomy Of The Foot
B-venous drainageOnly 14 pages are availabe for public view
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Abstract
Abstract
Background: Diabetes Mellitus (DM) is a complex disease. The manifestations of diabetes are visible in every system in the human body; however, the musculoskeletal system is particularly affected. The foot is a frequent target of the disease. Complications of diabetic foot problems account for 50% to 60% of all non-traumatic foot or leg amputations, the majority of which are due to infectious complications. Imaging plays the key part in the identification of diabetic foot soft tissue, bony, and articular complications. Magnetic resonance imaging is the most sensitive and most specific imaging technique for the diagnosis of osteomyelitis and other musculoskeletal diabetic foot complications, and provides excellent anatomic detail and additional accurate information on the extent of the infectious process and associated soft tissues involvement.
Aim of the Work: to describe in details the different musculoskeletal manifestations of diabetic foot syndrome, and provide a strategy in the interpretation of MR images of diabetic foot complications.
Patients and Methods: 30 diabetic patients on insulin therapy, 19 male and 11 female were included in this study, with their mean age of 54 years, two having type I DM and the rest having type II DM. 14 of the patients have another com-morbidity. The MRI examinations were done on 1.5 Tesla MR scanners in Ain Shams University Hospital and a private radiology center. Chi-square test was used to study the association between each 2 variables as regards the categorized data (patient age, sex and co-morbidity, type and duration of DM, presenting symptoms and MRI findings). The probability of error at 0.05 was considered significant, while at 0.001 is highly significant.
Results: the different musculoskeletal manifestations were found in our study group of patients, in both sexes and both types of DM regardless their co-morbidity. A significant probability of error was found as regard the presence of fever and osteoarthropathy, pain and septic arthritis, previous toe amputation and osteomyelitis. A highly significant probability of error was found in the relation between fever and septic arthritis, pain and osteomyelitis, swelling and osteoarthropathy, as well as red warm foot skin and osteoarthropathy.
Conclusion: MRI provides an excellent imaging modality for the diagnosis of the different musculoskeletal manifestations of the diabetic foot syndrome, and can accurately differentiate between them based on the characteristic findings of each.