By S. Forgács
Complex problems of the carbohydrate metabolism and linked problems reason many abnormalities detectable through radiography within the bones and joints. light medical signs linked to very critical radiological adjustments have been first rec ognized on the subject of the gastroenterologic problems of diabetes. This phenomenon is extra common within the skeletal method. for instance, gentle and painless swelling of the foot joints might frequently masks super critical bone destruction. numerous different bone adjustments linked to diabetes are just detectable by way of radiography. therefore, the radiologist performs an immense function in confirming those diabetic issues, in addition he's concerned with the healing administration of the sufferer. even if many information in this topic were released, even if no summarizing monograph has but seemed. Manuals discussing diabetes contain basically brief experiences on problems of the osseous approach. the truth that the prevalence of diabetes is especially excessive, at the present 1 %-2 % of the inhabitants is affected and their quantity is progressively expanding - dis performs the timeliness of this topic. Fifty years of expertise with insulin remedy exhibits that numerous vital difficulties nonetheless stay to be solved. Insulin and glossy oral antidia betic medicines proved super effective within the administration of hyperglycemia and ketosis, however the occurrence of different issues has no longer lowered. furthermore, because the variety of diabetics and their lifestyles expectancy raise, overdue problems develop into likewise extra fre quent. Diabetic osteoarthropathy is this kind of complications.
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Extra resources for Bones and Joints in Diabetes Mellitus
Signs of dysplasia were: fiat vertebral bodies, irregular endplates, Schmorl's nodes, persisting vascular canals. In elderly patients, particularly if accompanied by kyphosis, these were evaluated as residual symptoms of Scheuermann's disease. Diagnosis of dysplasia is not an easy task; the symptoms are not uniformly interpreted. According to Schoen et al. (1969), diabetes itself predisposes to vertebral dysplasia. Fii16p (1961), reporting 9 cases of "hyperostosis vertebrae," found signs of dysplasia in only one case.
A pathological ossification takes place. ). Our observations showing hyperostotic spondylosis 57 Fig. 25. Ossification of the superior pubic ligament. Calcification at the attachment of the sacrotuberous ligament on the tubercle of the ischium Fig. 26. Club-shaped calcified protuberance on the greater trochanter. Calcification in the wall of the femoral artery 58 Fig. 27. Calcification of the quadriceps and patellar tendons. Note the prominence of the tibial tuberosity at the ligamentous attachment 59 Fig.
Calcification of the sacrotuberous ligament is also very rare (Figs. 22, 23 and 24). The latter two forms of ligamentous calcification have been observed exclusively in diabetics. Osseous outgrowths often appear on the trochanters at the site of the adhesion of muscles (Figs. 24 and 26). Hyperostosis of the extremities On the extremities, hyperostosis appears in the form of paraarticular calcification and periosteal appositions. Paraarticular calcifications are the result of calcium deposition in the capsular ligaments or of the adjacent insertions.