Question 2173
{"accessible":false,"alternatives":[{"id":10789,"text":"involvement of multiple joints with articular epicenter"},{"id":10790,"text":"presence of bone erosion"},{"id":10791,"text":"presence of subchondral cysts"},{"id":10792,"text":"preservation of the subcutaneous fat"},{"id":10793,"text":"transcutaneous spread of disease"}],"archived":false,"correctAlternativeId":10793,"explanation":"\u003cp\u003e\u0026gt;90% of cases of osteomyelitis spread through a transcutaneous route. Therefore, subcutaneous fat is usually involved.\u0026nbsp;\u003c/p\u003e\u003cp\u003eNeuropathic osteoarthropathy is an aggressive form of degeneration therefore it is common to see subchondral cysts and bone erosions. It usually involves multiple joints with an articular epicenter. However, in osteomyelitis, there is a marrow epicenter.\u003c/p\u003e","id":2173,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2929","nextQuestionPath":"/articles/osteomyelitis/questions/2164","relatedArticles":[{"id":10837,"title":"Charcot joint","link":"/articles/charcot-joint?lang=us"}],"alsoUsedIn":[{"id":934,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 934","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/934"},{"id":934,"kind":"Course","title":"Musculoskeletal Lectures - page 934","link":"https://radiopaedia.org/courses/musculoskeletal-lectures/pages/934"},{"id":934,"kind":"Course","title":"2021 Virtual Conference Private Use - page 934","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/934"}],"stem":"\u003cp\u003eWhich of the following\u0026nbsp;important\u0026nbsp;features favors the diagnosis of osteomyelitis over neuropathic osteoarthropathy?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2173"}],"attemptsPercentages":[{"alternativeId":"10792","percentage":7},{"alternativeId":"10791","percentage":4},{"alternativeId":"10790","percentage":11},{"alternativeId":"10789","percentage":9},{"alternativeId":"10793","percentage":69}],"promptToLogin":false,"questionManager":false,"articleId":"osteomyelitis"}