Podiatry Section, Veterans Affairs Medical Center, Lebanon, PA, USA.
Diabetologia. 2013 Sep;56(9):1873-7. doi: 10.1007/s00125-013-2961-6. Epub 2013 Jun 14.
In November 1883, Jean-Martin Charcot and Charles Féré reported on bone and joint disease of the foot in cases of tabes dorsalis, and referred to the condition as 'pied tabétique'--a disabling neuropathic osteoarthropathy that we usually now refer to as the Charcot foot. Charcot had originally described neuropathic osteoarthropathy in more proximal joints in 1868, and in his 1883 paper with Féré stated that involvement of the short bones and small joints of the foot had not yet been described. They emphasised in the paper that one of their cases was the first ever observed, two years earlier, in 1881. It is relevant, however, that it was in this same year that involvement of the foot by tabetic arthropathy was presented to the International Medical Congress in London by an English surgeon, Herbert William Page. We believe that Page was the first to diagnose and to report a case of tabetic neuropathic osteoarthropathy in which the bones of the foot and ankle were involved. He was also the first to propose a link between the tabetic foot and disease of the peripheral nerves, as opposed to the central nervous system.
1883 年 11 月，让-马丁·夏科（Jean-Martin Charcot）和查尔斯·费雷（Charles Féré）报道了背侧脊髓痨患者足部骨骼和关节疾病，并将其称为“tabétique 足”——一种致残性的神经病理性骨关节炎，我们现在通常称之为夏科足。夏科最初在 1868 年描述了更靠近近端的关节的神经病理性骨关节炎，在他与费雷的 1883 年的论文中指出，足部的短骨和小关节的受累尚未被描述。他们在论文中强调，他们的一个病例是在两年前的 1881 年首次观察到的。然而，相关的是，同年，一位英国外科医生赫伯特·威廉·佩奇（Herbert William Page）在伦敦举行的国际医学大会上展示了由脊髓痨引起的足部关节病。我们认为佩奇是第一个诊断和报告夏科氏神经病理性骨关节炎病例的人，该病例中足部和踝关节的骨骼受累。他也是第一个提出与外周神经疾病相关的夏科氏足与中枢神经系统疾病相反的观点的人。
