Bones and Joints in Diabetes Mellitus
Complex disorders of the carbohydrate metabolism and associated complications cause many abnormalities detectable by radiography in the bones and joints. Mild clinical symptoms associated with very severe radiological changes were first rec ognized in re
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G. Flegg et al. (eds.), Nicolas Chuquet, Renaissance Mathematician © D. Reidel Publishing Company, Dordrecht, Holland 1985
Series in Radiology Volume 4
Bones and Joints in Diabetes Mellitus by
S. Forgacs Semmelweis University Medical School Budapest
•~ .: •••
:
1982
Martinus Nijhoff Publishers The Hague / Boston / London
Distributors:
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Kluwer Academic Publishers Group Distribution Center P.O. Box 322 3300 AH Dordrecht The Netherlands
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Kluwer Boston, Inc. 160 Old Derby Street Hingham, MA 02043 USA
Library of Congress Cataloging in Publication Data Forgacs, S. Bones and joints in diabetes mellitus. (Series in radiology; v. 4) Based on the author's thesis. Includes bibliographies and index. 1. Bones - Diseases. 2. Joints - Diseases. 3. Diabetes - Complications and sequelae. I. Title. II. Selies. (DNLM: 1. Bone and bones-Radiography. 2. Joints-Radiography. 3. Bone diseases-Etiology. 4. Joint diseases-Etiology. 5. Diabetes mellitus-Complications. WK835 F721b) 6167 80-18430 RC930.F57 1980
ISBN-13: 978-94-009-7429-6 DOl: 10.1007/978-94-009-7427-2
e-ISBN-13: 978-94-009-7427-2
Joint edition published by MARTlNUS NIJHOFF PUBLISHERS P.O.B. 566, 2501 CN The Hague, The Netherlands and AKADEMIAI KIAD6 P.O.B. 24, H-1363, Budapest, Hungary
Copyright
© Akademiai Kiad6, Budapest, 1982
All rights reserved. No part of this publication may be .eproduced, stored in a rettieval system, or transmitted in any form or by any mean" mecha •. ical, photocopying, recording or otherwise, without the prior wlitten permission of the publisher, Martinus Nijhoff Publishers bv, P.O. flox 566, 2501 eN The Hague. The Netherlands.
To Katalin
Contents
Introduction Chapter 1
11
Pathophysiology of the diabetic bone
13
(by Dr. Katalin Laszlo) Disorders of cell population dynamics The role of inorganic ions and hormones Summary References
14 15 18 18
Chapter 2
Osteoporosis and diabetes mellitus
20
The author's data Evaluation of the author's data Summary References
21 24 25
26
Chapter 3
Hyperostosis and diabetes mellitus
28
Hyperostosis of the spine Cranial hyperostosis Other manifestations of hyperostosis Relationship between hyperostosis and metabolism Pathogenesis of hyperostosis Summary References
28 46
47 56
57 67 68
Chapter 4
Diabetic osteoarthropathy
73
The occurrence of diabetic osteoarthropathy Specific features of diabetic osteoarthropathy Changes in the soft tissues and clinical findings in diabetic osteoarthropathy Localization of diabetic osteoarthropathy
73 75 82 93
7
The stages and radiological symptoms of diabetic osteoarthropathy Histological findings in diabetic osteoarthropathy Rare localizations of diabetic osteoarthropathy Differential diagnosis Pathogenesis of diabetic o
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