Pedal digital tuft and diaphyseal abnormalities as a function of underlying disease
| Disease | Leprosy | Diabetes | Alcoholism | Neuro-syphilis | Non-neuro-syphilis | Other‡ | Spondylo- arthropathy | Scleroderma | |
|---|---|---|---|---|---|---|---|---|---|
| CXR, clinical x ray; SE, skeletal examination; NR, not recorded. *Number (%) affected; †stress fracture; ‡neurological including paralysis and cerebrovascular accident. | |||||||||
| Derivation | CXR | CXR | CXR | SE | SE | SE | SE | CXR | CXR |
| Average age | 46 | 59 | 49 | 48 | 43 | 52 | 60 | 60 | 61 |
| Sex (% F) | 45 | 55 | 29 | 50 | 28 | 24 | 55 | 50 | 74 |
| Number examined | 137 | 91 | 21 | 66 | 29 | 28 | 65 | 100 | 8 |
| Character* | |||||||||
| Tuft | – | – | – | – | – | – | – | – | |
| Divot | 7 (5) | 16 (18) | 8 (40) | 3 (5) | 3 (10) | 4 (14) | 1 (2) | 12 (12) | 2 (25) |
| Flattened | 0 | 0 | 11 (52) | 17 (26) | 10 (34) | 0 | 0 | 0 | |
| Whittled | 9 (7) | 7 (8) | 0 | 0 | 0 | 0 | 0 | 15 (15) | |
| Resorption | 24 (18) | 8 (9) | 1 (5) | 0 | 0 | 0 | 0 | 9 (9) | 1 (13) |
| Irregular | 9 (7) | 2 (2) | 0 | 0 | 0 | 0 | 0 | 0 | |
| Fragmented | 11 (8) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Phalangeal | – | – | – | – | – | – | – | – | |
| Button | 12 (9) | 12 (13) | 0 | 0 | 0 | 0 | 0 | 0 | |
| Fracture | |||||||||
| Aligned | 11 (8) | 18 (20) | 2 (10) | 2 (3) | 2 (7) | 0 | 6 (9) | 3 (3) | |
| Misaligned | 11 (8) | 0 | 0 | 0 | 2 (7) | 0 | 0 | 0 | |
| Whittling | 17 (10) | 1 (1) | 0 | 0 | 0 | 0 | 0 | 6 (6) | |
| Resorption | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (13) |
| Pencil in cup | 9 (7) | 0 | 0 | 0 | 0 | 0 | 0 | 2 (2) | |
| Periostitis | 9 (7) | 19 (21) | 1 (5) | 1 (2) | 0 | 0 | 0 | 25 (25) | 1 (13) |
| Stress fx† | 3 (2) | 3 (4) | 5 (24) | 8 (12) | 3 (10) | 2 (7) | 6 (9) | 8 (8) | 1 (13) |
| 5th DIP fusion NR | 12 (13) | 9 (43) | 23 (35) | 7 (24) | 10 (36) | 26 (40) | 34 (34) | 2 (13) | |