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Acute Clinical Presentation of Charcot Arthropathy

Acute Clinical Presentation of Charcot Arthropathy

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<strong>Charcot</strong> treatment plan<br />

• Recognize the condition<br />

• Appropriate imaging and referrals<br />

• Off-load the joint, immobilization, NWB<br />

• Stabilization (casting) until bones stabilize<br />

• Appropriate custom footwear to accommodate deformity once stable<br />

• Pharmacologic therapy:<br />

Bisphosphonates – limited but promising research into using these in acute<br />

phase <strong>of</strong> <strong>Charcot</strong> joint disease to minimize bony resorption

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