Presentation
Pain and swelling of the right great toe.
Patient Data
Age: 45 years
Gender: Male
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Osteolysis and destruction of the phalanges, head, and neck of the first metatarsal bone noted with adjacent extensive soft tissue swelling - suggestive of osteomyelitis.
An old linear fracture of the head of the second metatarsal bone was noted.
Sclerosis with subchondral flattening of the head of the 3rd metatarsal bone noted - suggestive of Freiberg's disease.
Case Discussion
Osteomyelitis is common in diabetic patients, especially those with uncontrolled diabetes, who have soft tissue cellulitis and skin ulcerations.
In non-diabetic patients, it is seen following penetrating injury or secondary to hematogenous spread in generalized infection.
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