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The Journal of Bone and Joint Surgery 81:1506 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Book Review

THE CHARCOT FOOT. A CRITICAL REVIEW AND AN OBSERVATIONAL STUDY OF A GROUP OF 60 PATIENTS. Gerardus J. Onvlee. $35.00, 231 pp. (To obtain a copy of this book, you may contact the author directly at: van Daatselaarhof 44, 3833 HV Leudsen, The Netherlands, or at his e-mail address: gerard.onvlee@wxs.nl.)

David Agoada, D.P.M.

A patient with diabetes mellitus walks into your office with a chief complaint of a swollen left foot. He has no history of trauma and no major discomfort. His main concern is that his foot no longer fits inside his shoe. A radiograph shows a Lisfranc fracture-dislocation. For the physician who has not dealt with diabetic patients on a daily basis, the idea that a patient with a severe traumatic injury could walk into the office with neither a history of trauma nor pain seems farfetched. As the patient is diabetic, a diagnosis of infection or possibly osteomyelitis seems more realistic. The patient is managed with intravenous administration of antibiotics and perhaps a bone biopsy; an amputation may follow. Non-weight-bearing, use of a cast, and open . . . [Full Text of this Article]


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