{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:59:03Z","timestamp":1773313143390,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"858","license":[{"start":{"date-parts":[[1997,4,1]],"date-time":"1997-04-01T00:00:00Z","timestamp":859852800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1997,4,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We describe two patients with diabetes mellitus and associated neuropathy, who presented with painless foot swelling and no history of trauma. X-Rays revealed recent underlying fractures-in one of a metatarsus, and the other of a proximal phalanx. These were assumed to be \u2018stress\u2019 fractures unassociated with pain because of the severe sensory neuropathy. Though spontaneous fractures in neuropathic feet have been previously described, they almost always occur in association with Charcot joints, and are usually painful. The differential diagnosis of acute swelling in the foot of a diabetic patient with sensory neuropathy should include stress fracture.<\/jats:p>","DOI":"10.1136\/pgmj.73.858.241","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:49:00Z","timestamp":1230587340000},"page":"241-242","source":"Crossref","is-referenced-by-count":13,"title":["Painless stress fractures in diabetic neuropathic feet"],"prefix":"10.1093","volume":"73","author":[{"given":"G","family":"Gill","sequence":"first","affiliation":[{"name":"Diabetic Foot Clinic, Diabetes Centre, Walton Hospital , Liverpool L9 1AE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Benbow","sequence":"additional","affiliation":[{"name":"Diabetic Foot Clinic, Diabetes Centre, Walton Hospital , Liverpool L9 1AE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Tesfaye","sequence":"additional","affiliation":[{"name":"Diabetic Foot Clinic, Diabetes Centre, Walton Hospital , Liverpool L9 1AE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Kaczmarczyk","sequence":"additional","affiliation":[{"name":"Diabetic Foot Clinic, Diabetes Centre, Walton Hospital , Liverpool L9 1AE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Kaye","sequence":"additional","affiliation":[{"name":"Diabetic Foot Clinic, Diabetes Centre, Walton Hospital , Liverpool L9 1AE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1997,4,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/00005792-197205000-00006","article-title":"Neuroarthropathy (Charcot joints) in diabetes mellitus","volume":"51","author":"Sinha, S.; Munichoodapa, C.S.; Kozak, G.P.","year":"1972","unstructured":"Sinha S, Munichoodapa CS, Kozak GP. Neuroarthropathy (Charcot joints) in diabetes mellitus. Medicine 1972; 51: 191-210.","journal-title":"Medicine"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.2106\/00004623-198870080-00010","article-title":"Fractures associated with neuropathic arthropathy in adults who have juvenile-onset diabetes","volume":"70","author":"Clohisy, D.R.; Thompson, R.C.","year":"1988","unstructured":"Clohisy DR, Thompson RC. Fractures associated with neuropathic arthropathy in adults who have juvenile-onset diabetes. J Bone Joint Surg 1988; 70: 1192-200.","journal-title":"J Bone Joint Surg"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1111\/j.1464-5491.1995.tb00451.x","article-title":"Atraumatic fractures in Type 1 diabetes","volume":"12","author":"Khan, S.A.; Kurwa, H.A.; Prentice, M.G.","year":"1995","unstructured":"Khan SA, Kurwa HA, Prentice MG. Atraumatic fractures in Type 1 diabetes. Diabet Med 1995; 12: 179-80.","journal-title":"Diabet Med"},{"key":"ref_4","first-page":"3136","article-title":"Neuropathic fractures in patients with diabetes mellitus","volume":"134","author":"El-Khoury, G.Y.; Kathol, M.H.","year":"1980","unstructured":"El-Khoury GY, Kathol MH. Neuropathic fractures in patients with diabetes mellitus. Radiology 1980; 134: 3136.","journal-title":"Radiology"},{"key":"ref_5","first-page":"1","article-title":"Neuropathic fractures and joint injuries. Pathogenesis and rationale of prevention and treatment. j7 Bone","volume":"49","author":"Johnson, J.I.T.H.","year":"1967","unstructured":"Johnson JITH. Neuropathic fractures and joint injuries. Pathogenesis and rationale of prevention and treatment. j7 Bone Joint Surg 1967; 49A: 1-30.","journal-title":"Joint Surg"},{"key":"ref_6","first-page":"111","article-title":"Spontaneous fractures in patients with diabetic neuropathy. J7 R Coll","volume":"23","author":"Krentz, A.J.; Fitzgerald, M.G.; Wright, A.D.; Nattrass, M.","year":"1989","unstructured":"Krentz AJ, Fitzgerald MG, Wright AD, Nattrass M. Spontaneous fractures in patients with diabetic neuropathy. J7 R Coll Physicians Lond 1989; 23: 111 - 3.","journal-title":"Physicians Lond"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1111\/j.1464-5491.1985.tb00683.x","article-title":"Osteopoenia and metatarsal fractures in diabetic neuropathy","volume":"2","author":"Cundy, T.F.; Edmonds, M.E.; Watkins, P.J.","year":"1985","unstructured":"Cundy TF, Edmonds ME, Watkins PJ. Osteopoenia and metatarsal fractures in diabetic neuropathy. Diabet Med 1985; 2: 461-4.","journal-title":"Diabet Med"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/73\/858\/241\/50220785\/postgradmedj-73-241.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/73\/858\/241\/50220785\/postgradmedj-73-241.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T05:56:56Z","timestamp":1683784616000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/73\/858\/241\/7042045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,4,1]]},"references-count":7,"journal-issue":{"issue":"858","published-online":{"date-parts":[[1997,4,1]]},"published-print":{"date-parts":[[1997,4,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.73.858.241","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1997,4]]},"published":{"date-parts":[[1997,4,1]]}}}