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Musculoskeletal Infections

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Atlas of Nuclear Medicine in Musculoskeletal System

Abstract

Pedal ulcer occurs in approximately 25% of the diabetics. Three-phase bone scan plays a role in the assessment of vascular supply including small arteries and capillary vessels in diabetic foot ulcer. Peri-prosthetic joint infection occurs in 1%–2% of primary and in 4% of revision arthroplasties. Serum CRP may be less specific after post-operative infection and antibiotics therapy; however, combined WBC scan with three-phase bone scan can detect peri-prosthetic infection accurately. Charcot neuropathic osteoarthropathy is a non-inflammatory and progressive destruction of the bone and joint. Bone single-photon emission computed tomography/computed tomography (SPECT/CT) provides an additional anatomical information to distinguish from bone and soft tissue inflammation or infection in evaluating Charcot foot. Typical pyogenic spondylitis affects two adjacent vertebrae and the intervening disc. Differential diagnosis for tuberculous spondylitis could be performed with clinical symptom and imaging findings.

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Correspondence to Jung Mi Park .

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Park, J.M., Hwang, J.P., Choi, J.H., Cha, J.G., Yoon, Y.S. (2022). Musculoskeletal Infections. In: Yang, SO., Oh, S.W., Choi, Y.Y., Ryu, JS. (eds) Atlas of Nuclear Medicine in Musculoskeletal System. Springer, Singapore. https://doi.org/10.1007/978-981-19-2677-8_1

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  • DOI: https://doi.org/10.1007/978-981-19-2677-8_1

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