MRI Evaluation of diabetic muscle infarction |
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| Institution: | 1. Department of Physical Therapy, Delaware Limb Loss Studies, University of Delaware, Newark, DE;2. Department of Biomedical Engineering, Northwestern University, Evanston, IL;3. University of Sydney, The Kolling Research Institution, Faculty of Medicine and Health, and The Northern Sydney Local Health District, Sydney, Australia;4. Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL;5. Department of Physical Therapy, Delaware Spine Studies, University of Delaware, Newark, DE;6. University of Delaware, Biostatistics Core Facility, Newark, DE |
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| Abstract: | Diabetic muscle infarction (DMI) is a painful and potentially serious complication in patients with poorly controlled diabetes mellitus. The incidence of DMI is likely much greater than reports in the literature suggest, perhaps secondary to the difficulty in making the diagnosis and excluding other more serious etiologies. This paper describes the role of MRI in the evaluation of a diabetic patient with a painful, swollen limb. Early application of MRI can more accurately classify the disease process and focus the differential diagnosis, thus avoiding the hazards of medical therapy associated with other etiologies such as deep venous thrombosis, cellulitis, or osteomyelitis. This paper describes the evaluation and diagnostic pitfalls encountered in two patients. MRI techniques and applications are presented with a discussion of clinical and radiological differential diagnoses. |
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