Medical Clinical Update Journal
Vol. 1 No. 1 (2022): October

Diabetic Foot Ulcer Complicated with Fracture and Osteomyelitis: X-ray Findings

Joseph Christian Tjahjadi (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Annisa Shania Setiawan (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Grace Chillia Surya Dharma (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Irma Devi Mulyati (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Budi Anugrah (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Nada Adhityas Dwiputri (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Paula Tama Siagian (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Mathias Rusli (Unggul Karsa Medika Teaching Hospital, Bandung)
Wawan Kustiawan (Unggul Karsa Medika Teaching Hospital, Bandung)



Article Info

Publish Date
17 Oct 2022

Abstract

Diabetic foot ulcer is one of the complications of patients who have diabetes mellitus which is not well controlled. It is resulted from poor glycemic control, underlying neuropathy, peripheral vascular disease, and poor foot care. It could lead to osteomyelitis of the foot and amputation of lower extremities. Detailed history taking should be done in order to get a holistic view of disease progression and risk factors. Clinical presentations such as the presence of callus, loss of hair, muscle atrophy, ulcer, paresthesia, hypo- or hyperesthesia, anhydrosis could be present. Ulcers are most common in the weight-bearing areas such as plantar metatarsal head, heel, tips of hammer toes, and other prominent areas. Radiological investigations including plain x-rays should be done in order to look for any underlying osteomyelitis, the presence of air in the subcutaneous tissue, any signs of underlying fractures, and presence of a foreign body. In this case study, we presented X-ray finding of a diabetic foot ulcer case that complicated with fracture and osteomyelitis.

Copyrights © 2022






Journal Info

Abbrev

mcu

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Medical Clinical Update (MCU) Journal is a journal that discusses mainly about the latest developments of diseases that are often found in hospitals. This journal accepts case reports, research and reviews as well as medical images. The main purpose of this journal is to become an education tool for ...