L'approche moderne du pied de Charcot

Physiopathology of « Charcot foot » is now more and more clear. In presence of neuropathy, a little trauma at the level of foot or ankle induces inflammation. The latter, if lasting, is responsible for activation of the osteoclast system which leads to the lysis of bones and joints. MRI can make an early diagnosis. Then quick off-loading can prevent the destruction of bones and joints. Biphosphonates are no longer recommended. It is important to make diagnosis at the active early phase to keep the foot and ankle intact. This is the semiology, diagnosis, and treatment of this active early phase that should be teach, and no longer the historical “rocker bottom foot” which have no interest for the patient well-being.