Re: Acute Charcot foot

31 March 2012

Thanks for the interesting article.
As a general educational point, a bone scan in isolation often adds little to the diagnosis without an accompanying radio-labelled white cell scan or Leukoscan; in combination, the sensitivity/specificity is much nearer the optimistic values quoted for MRI. Either way, this is highly specialised imaging for a condition best managed in specialist centres rather than in primary care.

Competing interests: None declared

Peter Strouhal, Radiologist

Royal Wolverhampton Hospital, Wednesfield Rd, W'ton, WV8 2HW

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