Imaging of musculoskeletal soft tissue infections

Marcin B. Turecki, Mihra S. Taljanovic, Alana Y. Stubbs, Anna R. Graham, Dean A. Holden, Tim B. Hunter, Lee F. Rogers

Research output: Contribution to journalReview articlepeer-review

96 Scopus citations

Abstract

Prompt and appropriate imaging work-up of the various musculoskeletal soft tissue infections aids early diagnosis and treatment and decreases the risk of complications resulting from misdiagnosis or delayed diagnosis. The signs and symptoms of musculoskeletal soft tissue infections can be nonspecific, making it clinically difficult to distinguish between disease processes and the extent of disease. Magnetic resonance imaging (MRI) is the imaging modality of choice in the evaluation of soft tissue infections. Computed tomography (CT), ultrasound, radiography and nuclear medicine studies are considered ancillary. This manuscript illustrates representative images of superficial and deep soft tissue infections such as infectious cellulitis, superficial and deep fasciitis, including the necrotizing fasciitis, pyomyositis/soft tissue abscess, septic bursitis and tenosynovitis on different imaging modalities, with emphasis on MRI. Typical histopathologic findings of soft tissue infections are also presented. The imaging approach described in the manuscript is based on relevant literature and authors' personal experience and everyday practice.

Original languageEnglish (US)
Pages (from-to)957-971
Number of pages15
JournalSkeletal Radiology
Volume39
Issue number10
DOIs
StatePublished - Oct 1 2010

Keywords

  • Imaging
  • Magnetic resonance imaging (MRI)
  • Soft tissue infection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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