A 63-year-old man with long-standing type 2 diabetes and peripheral neuropathy presents with a plantar ulcer under the first metatarsal head. The ulce...

Question

A 63-year-old man with long-standing type 2 diabetes and peripheral neuropathy presents with a plantar ulcer under the first metatarsal head. The ulcer probes to bone, and there is surrounding cellulitis. Temperature is 37.8 °C. What is the most important investigation to assess for underlying osteomyelitis?

Accepted Answer

MRI of the foot

Answer

Plain X-ray of the foot only

Answer

CT scan of the foot

Answer

Bone scintigraphy only

Answer

No imaging is required

au-amc MCQ (SBA): Diabetic foot osteomyelitis