Lee M M, Noeller K R
Podiatry Division, Camp Pendleton Naval Hospital, California 92055-5008.
J Foot Surg. 1991 Nov-Dec;30(6):564-7.
The authors present an unusual case study of a Charcot joint of the first metatarsophalangeal articulation as well as a successful tibial sesamoidectomy for an associated chronic ulceration. Serial radiographs document the destructive disease process. The authors also address the etiologies of peripheral neuropathy, diagnostic tests to differentiate between Charcot joint and osteomyelitis, and both conservative and surgical management of Charcot joints.
作者介绍了一例第一跖趾关节夏科关节的罕见病例研究,以及针对相关慢性溃疡成功实施的胫侧籽骨切除术。系列X线片记录了破坏性疾病过程。作者还阐述了周围神经病变的病因、区分夏科关节与骨髓炎的诊断测试,以及夏科关节的保守和手术治疗方法。