What features present on a plain X-ray indicate osteomyelitis?
cortical erosion periosteal reaction mixed lucency sclerosis sequestra soft tissue swelling
What are the advantages of using MRI scans over plain radiographs when diagnosing osteomyelitis?
shows marrow oedema in 3 days
delineates cortical, bone marrow and soft tissue inflammation
What are the differential diagnoses for osteomyelitis?
soft tissue infection (cellulitis and erysipelas)
charcot joint (neuropathic arthropathy- progressive degen of weight-bearing joint)
avascular necrosis of bone due to radiation, steroid or bisphosphonate use
gout
fracture
bursitis
malignancy