Chantelau E, Richter A, Schmidt-Grigoriadis P, Scherbaum W A
Department of Endocrinology, Diabetes and Rheumatology, Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany.
Exp Clin Endocrinol Diabetes. 2006 Mar;114(3):118-23. doi: 10.1055/s-2006-924026.
It is generally accepted that traumatic bone injury contributes to the clinical picture of neuroarthropathy of the foot in diabetes, i.e., of the diabetic Charcot foot. While radiology is capable of visualizing only advanced bone injuries, like complete fractures, magnetic resonance imaging (MRI) discloses bone injuries that precede complete fractures (stress bone injuries). In diabetic polyneuropathy, stress bone injuries are silent in terms of pain, due to the lack of pain sensation. At the foot, their clinical appearance is characterized by inflammatory swelling with little or no pain. The present paper reviews the contribution of MRI to the detection of bone injuries in what is called stage 0 Charcot foot, with emphasis on the bearings for the treatment strategy.
人们普遍认为，创伤性骨损伤会导致糖尿病足神经关节病（即糖尿病夏科氏足）的临床表现。虽然放射学只能显示晚期骨损伤，如完全骨折，但磁共振成像（MRI）能揭示在完全骨折之前的骨损伤（应力性骨损伤）。在糖尿病性多发性神经病变中，由于缺乏痛觉，应力性骨损伤在疼痛方面是隐匿的。在足部，其临床表现为炎症性肿胀，疼痛轻微或无疼痛。本文综述了MRI在所谓0期夏科氏足骨损伤检测中的作用，重点阐述了其对治疗策略的影响。
