Osteolysis versus osteomyelitis: a clinical case report.

Gretz, R; Dennis, K J; Hartley, S F · J Foot Ankle Surg · 1997

case_report · Level V

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Abstract

Differentiating osteolysis and osteomyelitis is a formidable challenge for even the most experienced clinician. Although the two may have a similar presentation, the treatment regimen, morbidity, and long term prognosis for the patient are vastly dissimilar. The diagnosis of osteomyelitis carries with it a need for immediate and decisive action that may include early aggressive amputation. Conversely, the diagnosis of osteolysis necessitates a patient, conservative approach so as not to "burn any bridges", and to allow time for the affected part to heal.

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