Evaluation and treatment of stage 0 Charcot's neuroarthropathy of the foot and ankle.
Charcot's neuroarthropathy is a relatively common disease in patients with diabetic neuropathy. If unrecognized or left untreated, Charcot's neuroarthropathy can result in a severely misshapen and unstable foot and ankle. Ulceration, soft-tissue infection, and osteomyelitis frequently ensue, and partial or complete amputation of the foot is not uncommon. A high index of suspicion and proper interpretation of clinical and diagnostic findings are essential to establish a timely and accurate diagnosis and to institute appropriate treatment. The pathogenesis of neuroarthropathy is reviewed and diagnosis and treatment of the stage 0 diabetic Charcot foot are presented.
Yu
Gerard V
GV
Podiatric Medical Education and Residency Training, St Vincet Hospital, Cleveland, OH, USA.
Hudson
Justin R
JR
D000843:Ankle Joint / Q000473:pathology* / Q000503:physiopathology; D001177:Arthropathy, Neurogenic / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D017719:Diabetic Foot / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013640:Tarsal Joints / Q000473:pathology* / Q000503:physiopathology