Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...

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Neuroarthropathy • Jean-Martin Charcot (1868) 1 st described neuropathic changes in a syphilitic patient; disease of “trophic centers” of anterior horn cells • Jordan (1936) 1 st described diabetic neuropathy • Bailey (1942) tarsal destruction in 14 uncontrolled DM
Neuroarthropathy • bony destruction in neuropathic patients • associated instability • ulceration 2° to bony prominence • confused with: cellulitis osteomyelitis acute fracture
Page 1 and 2: Evaluation & Treatment of Diabetic
Page 3 and 4: Objectives • discuss the musculos
Page 5 and 6: Diabetes; the “giving” disease
Page 7 and 8: Diabetes mellitus Epidemiology >65
Page 9 and 10: Neuropathy Epidemiology associated
Page 11 and 12: Neuropathy metabolic contribution:
Page 13 and 14: Neuropathy Autonomic dysfunction: a
Page 15 and 16: Neuropathy Immune dysfunction: maln
Page 17 and 18: Neuropathy treatment • maximize g
Page 19 and 20: Diabetic foot ulcer Epidemiology 15
Page 21: Ulcer formation pressure + neuropat
Page 24 and 25: depth Ulcer classification 0: “at
Page 26: Mechanical, structural factors •
Page 30 and 31: Sensation Monofilament testing 5.07
Page 32 and 33: Circulation Waveform characteristic
Page 34 and 35: Infection • screening labs CBC, E
Page 36 and 37: Infection
Page 38 and 39: Healing potential Screening labs to
Page 40 and 41: Off-loading • pressure prevents u
Page 42 and 43: Total contact cast
Page 44 and 45: Protection
Page 46 and 47: Exostectomy
Page 48 and 49: Exostectomy
Page 50 and 51: Reconstruction
Page 54 and 55: Neuroarthropathy Typical scenario i
Page 58 and 59: Neuroarthropathy • “no ulcer -
Page 60 and 61: Neuroarthropathy “at-risk” fact
Page 62 and 63: Etiology Neurovascular theory neura
Page 64: stage I Charcot • x-ray: fragment
Page 67 and 68: stage III Charcot • x-ray: recons
Page 69 and 70: Neuroarthropathy Treatment goals cr
Page 71 and 72: Charcot acute treatment • strict
Page 73 and 74: Stage II treatment • protected we
Page 76: Surgical indications • gross inst
Page 82 and 83: Amputation Epidemiology 20X higher
Page 84: Limb salvage vs. amputation • wil
Page 87 and 88: Conclusions Ulcer treatment pressur
Page 89 and 90: Conclusions Charcot treatment redne
Page 91 and 92: Vascular Endocrine Orthopedics Woun

Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...

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