Charcot neuroarthropathy: An often overlooked complication of diabetes

Cleveland Clinic Journal of Medicine

Volumn 77, Issue 9, 2010, Pages 593-599

  Botek, Georgeanne ^a   Anderson, Martha A ^b   Taylor, Ryan ^c  

^a LERNER RESEARCH INSTITUTE   (United States)

^b Toledo Clinic   (United States)

^c Timpanogos Foot and Ankle LLC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CASE REPORT; DIABETES MELLITUS; DIABETIC NEUROPATHY; DIFFERENTIAL DIAGNOSIS; FOOT DISEASE; HUMAN; MALE; MIDDLE AGED; NEUROPATHIC JOINT DISEASE; PATHOPHYSIOLOGY; REVIEW;

ARTHROPATHY, NEUROGENIC; DIABETES COMPLICATIONS; DIABETES MELLITUS; DIABETIC NEUROPATHIES; DIAGNOSIS, DIFFERENTIAL; FOOT DISEASES; HUMANS; MALE; MIDDLE AGED;

EID: 77956509369     PISSN: 08911150     EISSN: None     Source Type: Journal    
DOI: 10.3949/ccjm.77a.09163     Document Type: Review

References (24)

1. Gupta R. A short history of neuropathic arthropathy. Clin Orthop Relat Res 1993; 296:43-49.
2. Johnson JT. Neuropathic fractures and joint injuries. Pathogenesis and rationale of prevention and treatment. J Bone Joint Surg Am 1967; 49:1-30.
3. Sanders LJ, Frykberg RG. The Charcot Foot (Pied de Charcot). In: Bowker JH, Pfeifer MA, editors. Levin and O'Neal's The Diabetic Foot. 7th ed. Philadelphia, PA: Mosby Elsevier; 2008:257-283.
4. Wukich DK, Sung W. Charcot arthropathy of the foot and ankle: modern concepts and management review. J Diabetes Complications 2009; 23:409-426.
5. Armstrong DG, Todd WF, Lavery LA, Harkless LB, Bushman TR. The natural history of acute Charcot's arthropathy in a diabetic foot specialty clinic. J Am Podiatr Med Assoc 1997; 87:272-278.
6. Jeffcoate WJ. Theories concerning the pathogenesis of the acute Charcot foot suggest future therapy. Curr Diab Rep 2005; 5:430-435.
7. Matricali GA, Bammens B, Kuypers D, Flour M, Mathieu C. High rate of Charcot foot attacks early after simultaneous pancreas-kidney transplantation. Transplantation 2007; 83:245-246.
8. Miller DS, Lichtman WF. Diabetic neuropathic arthropathy of feet; summary report of seventeen cases. AMA Arch Surg 1955; 70:513-518.
9. Frykberg RG, Belczyk R. Epidemiology of the Charcot foot. Clin Podiatr Med Surg 2008; 25:17-28
10. Chantelau E. The perils of procrastination: effects of early vs delayed detection and treatment of incipient Charcot fracture. Diabet Med 2005; 22:1707-1712.
11. Schon LC, Marks RM. The management of neuroarthropathic fracture-dislocations in the diabetic patient. Orthop Clin North Am 1995; 26:375-392.
12. Sella EJ, Barrette C. Staging of Charcot neuroarthropathy along the medial column of the foot in the diabetic patient. J Foot Ankle Surg 1999; 38:34-40.
13. E ichenholtz SN. Charcot Joints. Springfield, IL: CC Thomas; 1966.
14. Shibata T, Tada K, Hashizume C. The results of arthrodesis of the ankle for leprotic neuroarthropathy. J Bone Joint Surg Am 1990; 72:749-756.
15. Yu GV, Hudson JR. Evaluation and treatment of stage 0 Charcot's neuroarthropathy of the foot and ankle. J Am Podiatr Med Assoc 2002; 92:210-220.
16. Myerson MS, Henderson MR, Saxby T, Short KW. Management of midfoot diabetic neuroarthropathy. Foot Ankle Int 1994; 15:233-241.
17. Judge MS. Using serologic screening to Identify and monitor at-risk Charcot patients. Podiatry Today Magazine 2004; 17:75-82.
18. Chantelau E, Poll LW. Evaluation of the diabetic Charcot foot by MR imaging or plain radiography-an observational study. Exp Clin Endocrinol Diabetes 2006; 114:428-431.
19. Tan PL, Teh J. MRI of the diabetic foot: differentiation of infection from neuropathic change. Br J Radiol 2007; 80:939-948.
20. Ledermann HP, Morrison WB. Differential diagnosis of pedal osteomyelitis and diabetic neuroarthropathy: MR Imaging. Semin Musculoskelet Radiol 2005; 9:272-283.
21. Höpfner S, Krolak C, Kessler S, et al. Preoperative imaging of Charcot neuroarthropathy in diabetic patients: comparison of ring PET, hybrid PET, and magnetic resonance imaging. Foot Ankle Int 2004; 25:890-895.
22. Basu S, Chryssikos T, Houseni M, et al. Potential role of FDG PET in the setting of diabetic neuro-osteoarthropathy: can it differentiate uncomplicated Charcot's neuroarthropathy from osteomyelitis and soft-tissue infection? Nucl Med Commun 2007; 28:465-472.
23. Frykberg RG, Zgonis T, Armstrong DG, et al; American College of Foot and Ankle Surgeons. Diabetic foot disorders. A clinical practice guideline (2006 revision). J Foot Ankle Surg 2006; 45(suppl 5):S1-S66.
24. Young MJ, Marshall A, Adams JE, Selby PL, Boulton AJ. Osteopenia, neurological dysfunction, and the development of Charcot neuroarthropathy. Diabetes Care 1995; 18:34-38.