Acute Clinical Presentation of Charcot Arthropathy
Acute Clinical Presentation of Charcot Arthropathy Acute Clinical Presentation of Charcot Arthropathy
Prevalence in diabetic patients Charcot joint disease most prevalent in neurosyphilis (tabes dorsalis) when originally discovered. Other neurologic conditions associated c Charcot neuroarthropathy: alcoholism, leprosy, syringomyelia, pernicious anemia, Charcot-Marie- Tooth disease, poliomyelitis, trauma to peripheral nerves or spinal cord In 1936, physicians discovered the link between Charcot joint disease and diabetic neuropathy. DM is now the most frequent condition associated c this condition. 7% of DM patients, 29% of those c diabetic neuropathy are affected. Related to long-term poor glucose control.
Clinical signs and symptoms of Charcot foot • History of fall, sprain, or direct trauma • May be painless because of diabetic neuropathy or painful if sensory neuropathy is not complete • Unilateral lower extremity warmth, redness, and/or edema • Depressed medial arch, “rocker- bottom” foot or other visible deformity • “Bounding” pedal pulses; no systemic signs of infection • MHx: Pt has longstanding uncontrolled DM and sensory neuropathy
- Page 1 and 2: Clinical Presentation of Acute Char
- Page 3: disease Etiology of Charcot joint d
- 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 18 and 19: Charcot treatment plan • Recogniz
- 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
Prevalence in diabetic patients<br />
<strong>Charcot</strong> joint disease most prevalent in neurosyphilis (tabes dorsalis) when<br />
originally discovered.<br />
Other neurologic conditions associated c <strong>Charcot</strong> neuroarthropathy:<br />
alcoholism, leprosy, syringomyelia, pernicious anemia, <strong>Charcot</strong>-Marie-<br />
Tooth disease, poliomyelitis, trauma to peripheral nerves or spinal cord<br />
In 1936, physicians discovered the link between <strong>Charcot</strong> joint disease and<br />
diabetic neuropathy. DM is now the most frequent condition associated c<br />
this condition.<br />
7% <strong>of</strong> DM patients, 29% <strong>of</strong> those c diabetic neuropathy are affected.<br />
Related to long-term poor glucose control.
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