Practice Easily Missed?

Acute Charcot foot

BMJ 2012; 344 doi: (Published 14 March 2012) Cite this as: BMJ 2012;344:e1397

Re: Acute Charcot foot

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: No competing interests

31 March 2012
Peter Strouhal
Royal Wolverhampton Hospital
Wednesfield Rd, W'ton, WV8 2HW