کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4052733 | 1603760 | 2008 | 6 صفحه PDF | دانلود رایگان |
SummaryCharcot osteo-arthropathy is a potentially catastrophic complication of neuropathy. It can occur in any joint and has been associated with many of the causes of sensory deprivation; however it most commonly presents in the foot and ankle in the diabetic population. This article stresses early recognition and prevention of deformity. The key topics are: Pathophysiology: unrecognised microtrauma versus osseous hyperaemia as likely aetiologies, leading to fragmentation of the affected joint or bone. Assessment: diagnosis of neuropathy, x-ray changes, alternative imaging and its limitations and investigation to rule out other causes. Classification and staging: current staging of Charcot osteo-arthropathy and anatomical classification of foot and ankle Charcot osteo-arthropathy. Treatment: Current recommended treatment modalities including conservative, operative and pharmacological.
Journal: Current Orthopaedics - Volume 22, Issue 6, December 2008, Pages 428–433