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首页> 外文期刊>Diabetic Foot & Ankle >Follow up of MRI bone marrow edema in the treated diabetic Charcot foot – a review of patient charts
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Follow up of MRI bone marrow edema in the treated diabetic Charcot foot – a review of patient charts

机译：接受治疗的糖尿病性夏科特脚的MRI骨髓水肿的随访–病人图表回顾

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ABSTRACTBackground: Ill-defined areas of water-like signal on bone magnetic resonance imaging (MRI), characterized as bone marrow edema or edema-equivalent signal-changes (EESC), is a hallmark of active-stage pedal neuro-osteoarthropathy (Charcot foot) in painless diabetic neuropathy, and is accompanied by local soft-tissue edema and hyperthermia. The longitudinal effects on EESC of treating the foot in a walking cast were elucidated by reviewing consecutive cases of a diabetic foot clinic.Study design: Retrospective observational study, chart reviewMaterial and methods: Cases with active-stage Charcot foot were considered, in whom written reports on baseline and follow-up MRI studies were available for assessment. Only cases without concomitant infection or skin ulcer were chosen, in whom both was documented, onset of symptomatic foot swelling and patient compliance with cast treatment.Results: From 1994 to 2017, 45 consecutive cases in 37 patients were retrieved, with 95 MRI follow-up studies (1–6 per case, average interval between studies 13?weeks). Decreasing EESC was documented in 66/95 (69%) follow-up studies. However, 29/95 (31%) studies revealed temporarily increasing, migrating or stagnating EESC.Conclusion: EESC on MRI disappear in response to prolonged offloading and immobilizing treatment; however, physiologic as well as pathologic fluctuations of posttraumatic EESC have to be considered when interpreting the MR images. Conventional MRI is useful for surveillance of active-stage Charcot foot recovery.
机译：摘要：背景：骨磁共振成像（MRI）上水样信号的异常定义区域，以骨髓水肿或等效水肿信号变化（EESC）为特征，是活动期踏板神经骨关节炎（Charcot脚）的标志）在无痛性糖尿病神经病变中，并伴有局部软组织水肿和热疗。通过回顾连续的糖尿病足门诊病例，阐明了在步行石膏中治疗脚对EESC的纵向影响。研究设计：回顾性观察研究，图表回顾材料和方法：考虑活动期Charcot足的病例，其中有关基线和后续MRI研究的报告可供评估。结果：从1994年至2017年，共收治了37例患者中的45例连续病例，并进行了95例MRI随访，其中既无伴发感染或皮肤溃疡的病例，也有文献记录，症状性足肿胀发作和患者对石膏治疗的依从性。增加研究（每例1-6，研究之间的平均间隔13周）。在66/95（69％）的后续研究中记录到EESC的减少。然而，29/95（31％）的研究显示EESC暂时增加，迁移或停滞。结论：MRI的EESC在长时间卸载和固定治疗后消失。但是，在解释MR图像时，必须考虑创伤后EESC的生理和病理波动。常规MRI对活动期Charcot足恢复的监测很有用。

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