Additionally, if there is infection within the medullary component of bone, Dr. Judge notes the MRI can show a very extensive degree of this inflammatory change that is often far out of proportion to what one sees clinically. Dr. Judge explains that when any infection propagates into normal regions of bone, it causes an inflammatory front that shows the body has promoted a road block to the degenerative process.
“The problem here is that the MRI cannot distinguish between benign and infectious inflammatory change, and ultimately shows one large region of increased signal change that can overestimate the actual extent of pathology,” points out Dr. Judge.
Dr. Judge also notes that MRI is precluded in cases of retained foreign bodies such as stents, staples and internal fixation devices.
Dr. Karlock (pictured) is a Fellow of the American College of Foot and Ankle Surgeons, and practices in Austintown, Ohio. He is a member of the Editorial Advisory Board for WOUNDS, a Compendium of Clinical Research and Practice.
Dr. Ford is the Residency Director of the San Francisco Bay Area Foot and Ankle Residency Program at Kaiser Permanente in Richmond and Oakland, Ca. He is a Fellow of the American College of Foot and Ankle Surgeons.
Dr. Judge is a certified nuclear medicine technologist and is a Fellow of the American College of Foot and Ankle Surgeons. She is board-certified in foot, ankle and reconstructive rearfoot and ankle surgery by the American Board of Podiatric Surgery. Dr. Judge has private practices in Toledo and Port Clinton, Ohio. She is the official foot and ankle physician for the Jamie Farr Owens Corning LPGA Classic sponsored by Kroger.
Dr. Zgonis is an Assistant Professor within the Department of Orthopaedics/Podiatry Division at the University of Texas Health Science Center in San Antonio. He is an Adjunct Assistant Professor at the College of Podiatric Medicine and Surgery at Des Moines University in Des Moines, Iowa. Dr. Zgonis is also a Visiting Clinical Professor of Surgery within the Department of Orthopaedics and Traumatology at Thriasion General Hospital in Athens, Greece. He is an Associate of the American College of Foot and Ankle Surgeons.
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