{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T10:35:43Z","timestamp":1775039743405,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2001,12,24]],"date-time":"2001-12-24T00:00:00Z","timestamp":1009152000000},"content-version":"vor","delay-in-days":723,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2000,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p> <jats:bold>Aims<\/jats:bold>\u2003To follow\u2010up patients with a \u2018sausage\u2019 deformity of the toe associated with local neuropathic ulceration to confirm the diagnosis of underlying osteomyelitis. This was based on our observation that some diabetic patients with suspected pedal osteomyelitis with a local neuropathic ulcer have a \u2018sausage\u2019 deformity of a toe.<\/jats:p><jats:p> <jats:bold>Methods<\/jats:bold>\u2003Over a period of 2\u2003years, 14 patients with foot ulcers, who were observed to have the \u2018sausage\u2019 deformity of a toe in the diabetic foot clinic were followed up and investigated.<\/jats:p><jats:p> <jats:bold>Results<\/jats:bold>\u2003Underlying osteomyelitis was confirmed in six on the very first X\u2010ray examination. A further seven had osteomyelitis diagnosed on bone scanning. Both the X\u2010ray and the bone scan were equivocal in one patient, whose ulcer only healed after an 8\u2010week course of antibiotics. Antibiotic therapy was successful in 11 patients and three patients required amputation of the affected toe. Following successful treatment, there was full resolution of the \u2018sausage toe\u2019 in the majority.<\/jats:p><jats:p> <jats:bold>Conclusions<\/jats:bold>\u2003The appearance of a \u2018sausage toe\u2019 should alert the physician of the possibility of underlying osteomyelitis in diabetic foot, so that prompt treatment can be commenced with antibiotics.<\/jats:p>","DOI":"10.1046\/j.1464-5491.2000.00194.x","type":"journal-article","created":{"date-parts":[[2002,7,26]],"date-time":"2002-07-26T09:35:24Z","timestamp":1027676124000},"page":"74-77","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["\u2018Sausage toe\u2019: a reliable sign of underlying osteomyelitis"],"prefix":"10.1111","volume":"17","author":[{"given":"S. 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