"らい"のCharcot様関節変化

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タイトル別名
  • Charcot like changes in Leprosy
  • ライ ノ Charcot ヨウ カンセツ ヘンカ

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説明

Charcot-like changes in leprosy patient are mostly observed on foot and ankle, but rarely on other joints.<br>It was clinically observed that of 38 cases, 3 cases had the destruction of the whole tarsal bones, 19 cases on ankle, 4 cases on subtalar joints, 8 cases on Chopart's joint and 4 cases on Lisfranc's joint.<br>Charcot-like changes of ankle may be caused by repeated sprain. Clinical finding shows swelling, lateral instability and pes varus deformity of ankle.<br>The sclerosis, deformity of the tarsal bones and loose bodies in ankle are roentogenologically noted.<br>Proliferating bone changes are rare and the arthicular surface of the tibia is not damaged.<br>In Chopart's and subtalar joints, the condition begins with warmness and swelling without any cause.<br>The stability of the foot is kept well, though roentogenogram shows the destruction of navicular bone and calcaneum.<br>In Lisfranc's joint, the destruction of cuboid bone, caused by sprain, occurs, but may result in only pes valgus and planus deformity and stability of foot is kept well.

収録刊行物

  • レプラ

    レプラ 38 (3), 167-180, 1969

    日本ハンセン病学会

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