Grützner G, Pisar E, Mödder U
Heinrich-Heine-Universität Düsseldorf, Institut für Diagnostische Radiologie.
Rofo. 1993 Aug;159(2):144-9. doi: 10.1055/s-2008-1032738.
In patients suffering from diabetic osteoarthropathy, a total of 97 forefeet were evaluated concerning their bone tissue and soft tissue transformations. The most prevalent forms of demineralisation were circumscribed osteoporosis (21%) and diffuse osteoporosis (20%). Subluxations (6.2%), dislocations (2.1%), erosions (8.3%), marginal usures (11.3%) or cysts of the bone (11.3%) were seen only rarely. Extensions of the articular space (10.3%) were more prevalent than disappearances of the articular space (4.1%). The MTP (26.8%) and PIP joints (10.3%) were confirmed to be preferred localisations. A sudden loss of articular surface (25%) and a fast transition to mutilation (23.5%) show the increasing tendency of the fast transition to advanced stages of destruction by omitting the earlier stages.
在患有糖尿病性骨关节炎的患者中，共对97只前足的骨组织和软组织变化进行了评估。脱矿质最常见的形式是局限性骨质疏松（21%）和弥漫性骨质疏松（20%）。半脱位（6.2%）、脱位（2.1%）、糜烂（8.3%）、边缘磨损（11.3%）或骨囊肿（11.3%）仅很少见。关节间隙增宽（10.3%）比关节间隙变窄（4.1%）更常见。跖趾关节（26.8%）和近端指间关节（10.3%）被确认为好发部位。关节面突然丧失（25%）以及迅速发展为毁损（23.5%）表明，该病有跳过早期阶段而迅速发展至晚期破坏的趋势。
