Stages and roentgenological picture^*of diabetic osteoarthropathy

Ankle and Foot Fractures in Diabetics Provoking Neuropathic Joint Changes

“…It is widely accepted that neuropathic fractures in diabetics are associated with diabetic osteolysis (Rathery 1973, de Leeuw et al 1975, Forgasc 1977, which is explained by microangiopathy leading to loss of bone mass (Levin et al 1976) and mineral content (Ringe et al 1976). Fractures in an already spontaneously destroyed joint have been described by among others Lippmann et al Johnson (1967) in a review of 118 cases of neuropathic fracture and joint injuries included 10 cases of diabetic origin, one.of these progressing to Charcot joint changes.…”

“…Diabetic neuroarthropathy is a complication of diabetes mellitus with spontaneous bone and joint destruction, developing in diabetics with unstable metabolism (Forgasc 1977, Johnson 1967.…”

“…The incidence of arthropathy in diabetics is 0.1-0.5 per cent (Forgasc 1977, Lippmann et al 1976). The ankle (11 per cent), the tarsus (24 per cent), the tarsometatarsal joints (30 per cent), the metatarsophalangeal joints (30 per cent) and the interphalangeal joints (4 per cent) are the most common sites (Forgasc 1977).…”