This Article
Right arrow Full Text (PDF) Free
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by JOHNSON, J. T. H.
Right arrow Search for Related Content
PubMed
Right arrow Articles by JOHNSON, J. T. H.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?
Journal of Bone and Joint Surgery, 1967;49:1-30.
© 1967 by The Journal of Bone and Joint Surgery, Inc

Neuropathic Fractures and Joint Injuries

PATHOGENESIS AND RATIONALE OF PREVENTION AND TREATMENT

J. T. H. JOHNSON M.D.1

1 4 East Madison Street, Baltimore, Maryland 21202

Current concepts of the treatment of neuropathic joints are reviewed and a number of questions are raised.

Selected cases are reviewed which illustrate the role of fractures, the varied clinical picture, and the natural course of the condition.

The mode of onset is discussed with reference to obvious and occult trauma, stress fractures, and ligament damage.

The local pathological changes are briefly reviewed with emphasis on their variety and their relationship to the stage of development of the process.

The various stages and clinical course of the condition are described and the interrelationship of different clinical stages is shown.

Animal experiments showed no demonstrable intrinsic weakness of denervated bones and joints, and the subsequent Charcot-like fractures and joint injuries were felt to be purely traumatic.

A rational form of treatment is described based on an understanding of the pathogenesis of the condition. Emphasis is placed on preventive therapy.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Mayo Clin Proc.Home page
A. G. Tristano, M. L. Willson, and I. M. de Oca
Axillary Vein Thrombosis as a Manifestation of Rapidly Progressive Neuropathic Arthropathy of the Shoulder Associated With Syringomyelia
Mayo Clin. Proc., March 1, 2005; 80(3): 416 - 418.
[Abstract] [PDF]

Home page
 J. Am. Podiatr. Med. Assoc.Home page
G. V. Yu and J. R. Hudson
Evaluation and Treatment of Stage 0 Charcot's Neuroarthropathy of the Foot and Ankle
J Am Podiatr Med Assoc, April 1, 2002; 92(4): 210 - 220.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
G. P. Guyton and C. L. Saltzman
The Diabetic Foot : Basic Mechanisms of Disease
J. Bone Joint Surg. Am., July 1, 2001; 83(7): 1083 - 1096.
[Full Text]

Home page
 JBJSHome page
C. A. Deirmengian, S.-G. P. Lee, and J. B. Jupiter
Neuropathic Arthropathy of the Elbow : A Report of Five Cases
J. Bone Joint Surg. Am., June 1, 2001; 83(6): 839 - 844.
[Abstract] [Full Text]

Home page
 JBJSHome page
N. HATZIS, T. K. KAAR, M. A. WIRTH, F. TORO, and C. A. ROCKWOOD
Neuropathic Arthropathy of the Shoulder
J. Bone Joint Surg. Am., September 1, 1998; 80(9): 1314 - 1319.
[Abstract] [Full Text]

Home page
 Arch Intern MedHome page
S. V. Edelman, E. M. Kosofsky, R. A. Paul, and G. P. Kozak
Neuro-osteoarthropathy (Charcot's Joint) in Diabetes Mellitus Following Revascularization Surgery: Three Case Reports and a Review of the Literature
Arch Intern Med, August 1, 1987; 147(8): 1504 - 1508.
[Abstract] [PDF]

Home page
 JAMAHome page
S. J. Peitzman, J. L. Miller, L. Ortega, H. R. Schumacher, and P. C. Fernandez
Charcot Arthropathy Secondary to Amyloid Neuropathy
JAMA, March 29, 1976; 235(13): 1345 - 1347.
[Abstract] [PDF]

Home page
 ANN INTERN MEDHome page
S. JACOBELLI, D. J. McCARTY, D. C. SILCOX, and J. C. MALL
Calcium Pyrophosphate Dihydrate Crystal Deposition in Neuropathic Joints: Four Cases of Polyarticular Involvement
Ann Intern Med, September 1, 1973; 79(3): 340 - 347.
[Abstract] [PDF]