Acute Clinical Presentation of Charcot Arthropathy
Acute Clinical Presentation of Charcot Arthropathy Acute Clinical Presentation of Charcot Arthropathy
Stages of Charcot joint disease (Eichenholtz( stages) • Stage 0: Typically there is joint edema, but radiographs are negative. A bone scan or MRI may pick up a Charcot joint at this stage. • Stage 1: “Acute Charcot” – Osseous fragmentation and joint dislocation seen on radiograph • Stage 2: Decreased local edema, coalescence of fragments and absorption of fine bone debris • Stage 3: No local edema, with consolidation and remodeling (deformed) of fracture fragments. The foot is now stable.
‘Normal’ foot radiographs: Lateral and AP views. Lateral: Note presence of arch and distinct margins/borders of bones as they articulate c other bones. AP View: Again, noteworthy is the distinction between bone articulations. TMT joint is ‘clear’, not hazy or crumbled.
- 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: Joints affected 1)Tarsometatarsal j
- 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
- Page 54: Case #5 60 y/o female c PMH of bein
Stages <strong>of</strong> <strong>Charcot</strong> joint disease (Eichenholtz(<br />
stages)<br />
• Stage 0: Typically there is joint edema, but radiographs are negative. A<br />
bone scan or MRI may pick up a <strong>Charcot</strong> joint at this stage.<br />
• Stage 1: “<strong>Acute</strong> <strong>Charcot</strong>” – Osseous fragmentation and joint dislocation<br />
seen on radiograph<br />
• Stage 2: Decreased local edema, coalescence <strong>of</strong> fragments and absorption<br />
<strong>of</strong> fine bone debris<br />
• Stage 3: No local edema, with consolidation and remodeling (deformed) <strong>of</strong><br />
fracture fragments. The foot is now stable.
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