A common and difficult situation is where there is the question of infection in a diabetic with a Charcot joint.
The best way to handle this is to go to a WBC scan because the bone scan will be so abnormal that you won't be able to tell whether there is osteoblast activity from trauma or from infection.
Even worse, the late images of the bone scan, which are meant to show only bones, often look like a blood pool image because there is such poor foot perfusion.
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