early detection and a rationale for prompt offloading treatment.

Sidney Eichenholtz (1909-2000), reviewing in cross-sectional manner the x-rays of 68 cases (with 94 affected joints), had proposed a natural, irreversible evolution of the destructive process. On p 217 of his book Charcot Joints, he wrote:"Three well defined stages are described in the course and development of a Charcot joint:

I. Stage of Developmentdebris, fragmentation, disruption, dislocation.

II. Stage of Coalescencesclerosis, absorption of fine debris,

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