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Journal of Bone and Joint Surgery, 1958;40:1043-1057.
© 1958 by The Journal of Bone and Joint Surgery, Inc

Observations of Neuropathic (Charcot) Joints Occurring in Diabetes Mellitus

JULIAN E. JACOBS M.D.1

1 CHARLOTTE, NORTH CAROLINA

Although cases of neuropathic arthropathy are rare, with only forty-five cases reported in the world literature until 1956, our experience with three patients in ten years prompted us to invite the attention of orthopaedic surgeons to the lesions. I have stressed certain early roentgenographic diagnostic points and reported the only case in the literature, to my knowledge, in which the patient had complete reconstruction of an arthropathic joint, with a ten-year follow-up study. I urge physicians to make early and repeated roentgenograms of feet and ankles of any patient with diabetes. When it is necessary to amputate, a satisfactory and functional stump often remains.


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