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The Journal of Bone & Joint Surgery British Volume
Vol. 82-B, Issue 6 | Pages 935 - 935
1 Aug 2000
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 82-B, Issue 4 | Pages 622 - 622
1 May 2000
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 6 | Pages 1087 - 1087
1 Nov 1999
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 6 | Pages 1086 - 1086
1 Nov 1999
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 2 | Pages 374 - 374
1 Mar 1999
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 1 | Pages 184 - 184
1 Jan 1999
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 6 | Pages 1084 - 1085
1 Nov 1998
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 3 | Pages 559 - 559
1 May 1998
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 2 | Pages 373 - 373
1 Mar 1998
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 2 | Pages 374 - 374
1 Mar 1998
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 1 | Pages 11 - 12
1 Jan 1998
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 5 | Pages 882 - 883
1 Sep 1997
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 5 | Pages 882 - 882
1 Sep 1997
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 4 | Pages 700 - 701
1 Jul 1997
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 4 | Pages 699 - 700
1 Jul 1997
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 6 | Pages 1001 - 1001
1 Nov 1996
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 4 | Pages 686 - 686
1 Jul 1996
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 4 | Pages 686 - 686
1 Jul 1996
Klenerman L


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 1 | Pages 51 - 55
1 Jan 1996
Crerand S Dolan M Laing P Bird M Smith ML Klenerman L

We reviewed all patients with a clinically infected foot ulcer attending a specialised neuropathic foot clinic. Neuropathy was confirmed by the inability to feel a 5.07 Semmes-Weinstein hair, areflexia and impaired vibration sense, as measured by a biothesiometer.

Of 40 patients who attended the clinic over a two-year period, six with ischaemic ulcers were excluded. The remaining 34 had plain radiographs of the foot followed by a 99mTc-MDP bone scan. If the latter was positive, an 111In-labelled WBC scan was performed with planar and/or tomographic dual-isotope studies where appropriate. Bone and WBC scans were performed in 31 patients. In ten, isotope imaging showed infection localised to the soft tissues only and conservative treatment was successful in them all. Eighteen patients were treated surgically with excision of the involved bone, which was sent for culture and histological examination.

Dual-isotope scans had a sensitivity of 93% and a specificity of 83%. 99mTc-MDP bone scans with the appropriate 111In-labelled WBC scans can reliably determine the site and extent of osteomyelitis in the neuropathic diabetic foot.


The Journal of Bone & Joint Surgery British Volume
Vol. 77-B, Issue 2 | Pages 174 - 175
1 Mar 1995
Klenerman L