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Sinogram utilization revisited

Ebraheim, Nabil MD; Paull, Daniel MD; Wetzel, Robert M. BS; Gehling, Daniel J. MD

doi: 10.1097/BCO.0000000000000338

With the many conventional radiographic imaging modalities available today, the sinogram is an often overlooked, but useful study that can help with the management of patients with sinus tracts that questionably involve the bone or joint. When MRI and CT do not sufficiently illuminate these infections, sinogram is a useful diagnostic modality. We present two patients in whom sinogram was used to evaluate the depth and extent of a sinus tract that questionably involved infectious bone or joint. In both patients, MRI failed to detect a sinus tract communicating with the joint. The patients subsequently had sinogram studies, which adequately established the location of the sinus tract involved.

Department of Orthopaedic Surgery, The University of Toledo, Toledo, OH

Financial Disclosure: The authors have no disclosures and report no conflicts of interest.

Correspondence to Robert M. Wetzel, BS, The University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH 43614 Tel: +440-227-7776; fax: +440-227-7776; e-mail:

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