Simank H G, Graf J, Niethard F U
Stiftung Orthopädische Universitätsklinik Heidelberg.
Aktuelle Traumatol. 1993 Aug;23(5):257-9.
In the case presented here we demonstrate the history of a 31-year old woman who had been known to be diabetic for more than 10 years. In the beginning she complained of an isolated fracture of the first metatarsal bone. Because of incomplete immobilisation, but without major trauma, fracture of the metatarsal I-V developed. On an outpatient basis diagnosis was delayed for 6 months because of a misinterpreted scintigraphy without performing x-ray examination. In our clinic treatment consisted of immobilisation in a cast and non-weightbearing. The update knowledge diabetic osteopathy and osteoarthropathy and the consequences for treatment are discussed.
在此呈现的病例中，我们展示了一名31岁女性的病史，她患糖尿病已超过10年。起初，她诉说第一跖骨单发骨折。由于固定不完整，但无重大创伤，跖骨I-V发生骨折。在门诊，由于骨闪烁显像解读错误且未进行X线检查，诊断延误了6个月。在我们诊所，治疗包括石膏固定和不负重。讨论了糖尿病性骨病和骨关节炎的最新知识以及对治疗的影响。
