Kraft E, Spyropoulos E, Finby N
Am J Roentgenol Radium Ther Nucl Med. 1975 May;124(1):17-24. doi: 10.2214/ajr.124.1.17.
Neurogenic disorders of the foot in diabetics have been found with increasing frequency in recent years, Therefore, familiarity with the spectrum of roentgen findings appears essential. Significant changes include Charcot joints of the tarsus (destructive type), and bone absorption of the forefoot (multilating type). Charcot joints have been observed in 11 patients, bone absorption in 12, and a combination of both types in 3. This combination strongly suggests a diabetic neuropathy. Pathogenesis and differential diagnosis are briefly discussed.
近年来,糖尿病患者足部的神经源性疾病越来越常见,因此,熟悉X线表现的范围显得至关重要。显著变化包括跗骨的夏科关节(破坏型)和前足的骨质吸收(致残型)。11例患者观察到夏科关节,12例有骨质吸收,3例为两种类型并存。这种并存强烈提示糖尿病性神经病变。本文简要讨论了其发病机制和鉴别诊断。