CASE REPORT
Painless stress fractures of the foot in the course of poorly controlled type 1 diabetes – case report
1
Praski Hospital, Warsaw, Poland
2
Voivodeship Hospital in Bialystok, Poland
3
University Clinical Centre, Medical University, Warsaw, Poland
4
Bielański Hospita, Warsaw, Poland
5
Specialist Hospital for Pulmonary Diseases, Zakopane, Poland
6
Tytus Chałubiński Regional Hospital, Zakopane, Poland
J Pre Clin Clin Res. 2024;18(2):124-127
KEYWORDS
diabetic neuropathytype 1 diabetes mellituscomplications of diabetesuncontrolled diabetesstress fractures
TOPICS
ABSTRACT
This case report describes a 33-year-old woman with type 1 diabetes mellitus complicated by peripheral neuropathy,
who developed recurrent painless stress fractures in both feet. The patient’s poorly controlled blood glucose levels likely
contributed to severe neuropathy and increased fracture risk. While fractures in diabetics are often associated with Charcot’s
foot (painful), this case highlights the possibility of painless stress fractures due to sensory neuropathy. The case also
addresses the issue of skeletal abnormalities that can occur in the course of type 1 diabetes. Understanding the relationship
between painless stress fractures of the foot and poorly controlled diabetes underscores the importance of early diagnosis
and proper glycaemic control of type 1 diabetes mellitus to prevent such complications.
Rogowska K, Pochodowicz K, Zawistowska J, Lęgas A, Smalira J, Rogala W, Przybysz B, Kawalec J, Rutkowska-Kawalec W, Gromotowicz T.
Painless stress fractures of the foot in the course of poorly controlled type 1 diabetes – case report. J Pre-Clin Clin Res. 2024; 18(2): 124–127.
doi: 10.26444/jpccr/188213
REFERENCES (16)
1.
Oleszko M, Fularska K, Kuźniar A, Szawica D, Wąsiewicz E, Bernacki R, Bernacki P, Dutka M, Zardzewiały W. Neuropathy and neuroarthropathy as a complication of diabetes and other diseases, with particular emphasis on painless fractures – a review of the literature. Journal of Education, Health and Sport. 2023;25(1):75–82. eISSN 2391-8306. doi:10.12775/JEHS.2023.25.01.007.
2.
Davis BL, Tiell SM, McMillan GR, Goss LP, Crafton JW. Simple model of arch support: Relevance to Charcot Neuroarthropathy. Clin Biomech (Bristol, Avon). 2021 Jul;87:105403. doi:10.1016/j.clinbiomech.2021.105403. Epub 2021 May 29. PMID: 34091194; PMCID: PMC8316300.
3.
Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Fitridge R, Game F, Monteiro-Soares M, Senneville E; IWGDF Editorial Board. Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes Metab Res Rev. 2024 Mar;40(3):e3657. doi:10.1002/dmrr.3657. Epub 2023 May 27. PMID: 37243927.
4.
Schwartz AV, Lane NE. Bone and Joint Complications in Diabetes. In: Cowie CC, Casagrande SS, Menke A, Cissell MA, Eberhardt MS, Meigs JB, Gregg EW, Knowler WC, Barrett-Connor E, Becker DJ, Brancati FL, Boyko EJ, Herman WH, Howard BV, Narayan KMV, Rewers M, Fradkin JE, editors. Diabetes in America. 3rd ed. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases (US); 2018 Aug. CHAPTER 32. PMID: 33651567.
5.
Zerikly R, Demetriou EW. Use of Fracture Risk Assessment Tool in clinical practice and Fracture Risk Assessment Tool future directions. Womens Health (Lond). 2024 Jan-Dec;20:17455057241231387. doi:10.1177/17455057241231387. PMID: 38529935; PMCID: PMC10966972.
6.
American Diabetes Association Professional Practice Committee. 4. Comprehensive Medical Evaluation and Assessment of Comorbidities: Standards of Care in Diabetes-2024. Diabetes Care. 2024 Jan 1;47(Suppl 1):S52–S76. doi:10.2337/dc24-S004. PMID: 38078591; PMCID: PMC10725809.
7.
Beeve AT, Brazill JM, Scheller EL. Peripheral Neuropathy as a Component of Skeletal Disease in Diabetes. Curr Osteoporos Rep. 2019 Oct;17(5):256–269. doi:10.1007/s11914-019-00528-8. PMID: 31392667; PMCID: PMC6817763.
8.
Weber DR, Haynes K, Leonard MB, Willi SM, Denburg MR. Type 1 diabetes is associated with an increased risk of fracture across the life span: a population-based cohort study using The Health Improvement Network (THIN). Diabetes Care. 2015 Oct;38(10):1913–20. doi:10.2337/dc15-0783. Epub 2015 Jul 27. PMID: 26216874; PMCID: PMC4580610.
9.
Paavana T, Rammohan R, Hariharan K. Stress fractures of the foot – current evidence on management. J Clin Orthop Trauma. 2024 Feb 22;50:102381. doi:10.1016/j.jcot.2024.102381. PMID: 38435398; PMCID: PMC10904895.
10.
Feldman EL, Callaghan BC, Pop-Busui R, Zochodne DW, Wright DE, Bennett DL, Bril V, Russell JW, Viswanathan V. Diabetic neuropathy. Nat Rev Dis Primers. 2019 Jun 13;5(1):41. doi:10.1038/s41572-019-0092-1. PMID: 31197153.
11.
Wu C, Wu Z, Chen Y, Xu H, Li K. The relationship between dietary phosphorus and peripheral neuropathy in the general population of the United States: A preliminary research. PLoS One. 2024 Mar 15;19(3):e0299566. doi:10.1371/journal.pone.0299566. PMID: 38489279; PMCID: PMC10942028.
12.
Galiero R, Caturano A, Vetrano E, Beccia D, Brin C, Alfano M, Di Salvo J, Epifani R, Piacevole A, Tagliaferri G, Rocco M, Iadicicco I, Docimo G, Rinaldi L, Sardu C, Salvatore T, Marfella R, Sasso FC. Peripheral Neuropathy in Diabetes Mellitus: Pathogenetic Mechanisms and Diagnostic Options. Int J Mol Sci. 2023 Feb 10;24(4):3554. doi:10.3390/ijms24043554. PMID: 36834971; PMCID: PMC9967934.
13.
Pop-Busui R, Boulton AJ, Feldman EL, Bril V, Freeman R, Malik RA, Sosenko JM, Ziegler D. Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Diabetes Care. 2017 Jan;40(1):136–154. doi:10.2337/dc16-2042. PMID: 27999003; PMCID: PMC6977405.
14.
Hicks CW, Selvin E. Epidemiology of Peripheral Neuropathy and Lower Extremity Disease in Diabetes. Curr Diab Rep. 2019 Aug 27;19(10):86. doi: 10.1007/s11892-019-1212-8. PMID: 31456118; PMCID: PMC6755905.
15.
Rabe OC, Winther-Jensen M, Allin KH, Svendsen OL. Fractures and Osteoporosis in Patients With Diabetes With Charcot Foot. Diabetes Care. 2021 Sep;44(9):2033–2038. doi:10.2337/dc21-0369. Epub 2021 Jul 27. PMID: 34315699.
16.
Dardari D. An overview of Charcot’s neuroarthropathy. J Clin Transl Endocrinol. 2020 Oct 28;22:100239. doi:10.1016/j.jcte.2020.100239. PMID: 33251117; PMCID: PMC7677697.
| eISSN: | 1898-7516 |
| ISSN: | 1898-2395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
