Radiology for the surgeon: Musculoskeletal case 40 (original) (raw)

A 35-year-old male patient was referred to the orthopedic clinic complaining of right foot swelling. Clinical examination revealed diffuse nontender foot swelling associated with multiple discharging sinuses. Plain radiographs of the foot ) demonstrated diffuse sclerosis, lysis and undulating periosteal reaction involving the metatarsal bones of the second, third, fourth and the base of the first metatarsal. The fifth metatarsal is completely destroyed. In addition, diffuse erosions and destruction involve the midfoot bones and anterior calcaneous and talus. Diffuse soft tissue swelling is identified.