Acute Clinical Presentation of Charcot Arthropathy

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Case #3: Radiographic Findings “Questionable soft tissue swelling over dorsum of foot..” “No signs of fractures, dislocations, no evidence of osteomyelitis or a bone destructive process.” “Severe peripheral vascular disease beyond the patient’s age strongly consistent c diabetes.” Bottom line: “By plain film evidence, there is no evidence for developing neurovascular joint disease at this point. MRI is more sensitive. If warranted, this should be considered.”
Case #3: Rx PT called Dr. Mirmiran, podiatrist, to discuss case. Asked podiatrist about her interpretation of “Stage 0 Charcot foot” compared c this pt and what Rx she would recommend. Pt referred to podiatry by PCP after discussion c PT and podiatrist. Short leg cast was placed on L leg by podiatrist. Initially NWB c crutches, then pt given walking shoe for use c cast and crutches. Cast changed by podiatrist q 2 weeks while she took serial radiographs and also monitored redness and edema of L foot.
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 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 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
Page 68 and 69: Case #5: external fixation
Page 70 and 71: Case #5: Rx Infection in R leg desp
Page 72 and 73: Case #6: L foot AP/oblique views
Page 74 and 75: Case #6: R foot AP/oblique views
Page 76 and 77: Case #6: Radiographic findings “M
Page 78 and 79: Clinical signs and symptoms of Char
Page 80: Treatment progression (podiatry)

Acute Clinical Presentation of Charcot Arthropathy

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