GARRE’S SCLEROSING OSTEOMYELITIS

Abstract

Purpose. To demonstrate the possibilities of radiology methods (multispiral computed tomography (MSCT) and magnetic resonance computed tomography (MRI)) in detection of the Garre’s sclerosing osteomyelitis of the tibia. Materials and methods. A case report of the patient Z., 49 years old, who complained about pain when walking, especially in high-heeled shoes is presented. In order to identify pathological changes, the patient was sent to the radiology department to perform MSCT of both feet and lower leg bones with loading and MRI of the bones of the middle and lower parts of the right lower leg. Results. The possibilities of MSCT and MRI, the features of the radiological semiotics of tibia bone changes in sclerosing osteomyelitis in a patient with a valgus deformity of both feet, with the anamnesis of erysipelas of soft tissues of the lower leg are described. Discussion. Garre's sclerosing osteomyelitis is a rare subtype of osteomyelitis with nonspecific symptoms, physical examination data, laboratory data, negative results of bacterial culture, characterized by the presence of hyperostosis, osteosclerotic changes in the affected area. MSCT and MRI in patients with a chronic form of Garre's sclerosing osteomyelitis, usually asymptomatic for many years, are the most informative diagnostic methods. Conclusion. The use of modern highly informative methods (MSCT, MRI) is an integral stage in the diagnosis of Garre's sclerosing osteomyelitis, which allows identifying characteristic radiological semiotics, assessing the localization, prevalence of the pathological process, which in the future determines the tactics of patient management in accordance with the established diagnosis.