Acute Clinical Presentation of Charcot Arthropathy
Acute Clinical Presentation of Charcot Arthropathy Acute Clinical Presentation of Charcot Arthropathy
Charcot treatment plan • Recognize the condition • Appropriate imaging and referrals • Off-load the joint, immobilization, NWB • Stabilization (casting) until bones stabilize • Appropriate custom footwear to accommodate deformity once stable • Pharmacologic therapy: Bisphosphonates – limited but promising research into using these in acute phase of Charcot joint disease to minimize bony resorption
Treatment goals • Reduce degree of fracture and deformity • Reduce risk of future wounds and/or amputation • Limit morbidity Left untreated, some possibilities are: • Joint deformity • Ulceration +/- infection • Loss of function • Amputation Treatment time: May take 6-9 mos. for edema and erythema of affected joint to recede and bones to stabilize.
- Page 1 and 2: Clinical Presentation of Acute Char
- Page 3 and 4: disease Etiology of Charcot joint d
- Page 5 and 6: Clinical signs and symptoms of Char
- Page 7 and 8: Joints affected 1)Tarsometatarsal j
- Page 9 and 10: ‘Normal’ foot radiographs: Late
- Page 11 and 12: Charcot foot: Loss of arch and acqu
- Page 13: These are the X-ray X films of the
- Page 20 and 21: Cam/fracture walker
- Page 22 and 23: CROW (Charcot Restraint Orthotic Wa
- Page 24 and 25: Selected ACL cases November 2006 th
- Page 26 and 27: Case #1 Initial films: Ankle and ch
- Page 28 and 29: Case #1: AP View: Healing 2 nd meta
- Page 30 and 31: Case #1: Lateral view: TMT joint de
- Page 32 and 33: Case #2 72 y/o female already going
- Page 34 and 35: Case #2: Lateral view of L foot.
- Page 36 and 37: Case#2 R foot AP and Oblique views
- Page 38 and 39: Case #2: Radiographic findings R fo
- Page 40 and 41: Case #3 46 y/o male already under c
- Page 42 and 43: Case #3: L foot Oblique view
- Page 44 and 45: Case #3: Radiographic Findings “Q
- Page 46 and 47: Case #4 Case #4 61 y/o male had bee
- Page 48 and 49: Case #4: R ankle films
- Page 50 and 51: Case #4: R foot AP view
- Page 52 and 53: Case #4 Radiographic findings “Di
- Page 54: Case #5 60 y/o female c PMH of bein
- Page 58 and 59: Case #5 Pt called PT 6 days prior t
- Page 60 and 61: Case #5: PT evaluation Girth measur
- Page 62 and 63: Case #5: R foot lateral radiograph
- Page 64 and 65: Case #5: R ankle radiographs
- Page 66 and 67: Case #5: Ankle radiographic finding
Treatment goals<br />
• Reduce degree <strong>of</strong> fracture and deformity<br />
• Reduce risk <strong>of</strong> future wounds and/or amputation<br />
• Limit morbidity<br />
Left untreated, some possibilities are:<br />
• Joint deformity<br />
• Ulceration +/- infection<br />
• Loss <strong>of</strong> function<br />
• Amputation<br />
Treatment time: May take 6-9 mos. for edema and erythema <strong>of</strong> affected joint<br />
to recede and bones to stabilize.
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