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Title: Radiological residua of healed diabetic arthropathies

Journal Article · · Skelet. Radiol.; (United States)
DOI:https://doi.org/10.1007/BF00361859· OSTI ID:5586521

Diabetic arthropathy is a relatively rare manifestation of neuropathic disease, occurring in fewer than 5% of cases. Abnormalities of this type are confined largely to the small joints of the feet, although the larger joints of the lower limbs and the spine occasionally are affected. Some lesions, particularly in the feet, repair spontaneously, leaving radiological residua sufficiently characteristic to prompt suspicion of an unrecognised diabetic state. These include deformity of the head of the second metatarsal (akin to a Freiberg lesion), shortening of the great toe, painless deforming arthrosis of the knee, and ankylosis of interphalangeal joints. In the presence of these signs the patient should be interrogated concerning diabetes and blood sugar estimates, with provocation if necessary, obtained. Should such a diagnosis be sustained, appropriate protective measures may be undertaken to avoid a relapse of the arthropathy.

OSTI ID:
5586521
Journal Information:
Skelet. Radiol.; (United States), Vol. 7:3
Country of Publication:
United States
Language:
English