Early stage diabetic Charcot Foot syndrome may respond to nerve decompression.
Diabetic Charcot Foot syndrome has been postulated to require a triggering event to initiate its puzzling inflammatory process, characterized by bony resorption, pathologic fractures, soft tissue ligamentous failure, and destruction of foot architecture. Two cases are presented where multiple lower extremity nerve decompression was performed early in the Charcot process. Resolution of clinical signs and radiographic abnormalities rapidly followed. The observation that these events were temporally concurrent suggests that nerve entrapment might reasonably be investigated as one of the postulated triggering events for the Charcot Foot in diabetes. (c) 2009 Wiley-Liss, Inc. Microsurgery 2009.
Nickerson
D Scott
DS
Northeast Wyoming Wound Clinic, Sheridan County Memorial Hospital, Sheridan, WY, USA. thenix@fiberpipe.net
Alzheimer
Daniel
D
Dellon
A Lee
AL
D000368:Aged; D001177:Arthropathy, Neurogenic / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001862:Bone Resorption; D002113:Calcification, Physiologic; D019299:Decompression, Surgical; D017719:Diabetic Foot / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008682:Metatarsal Bones / Q000293:injuries; D008875:Middle Aged; D011859:Radiography; D013639:Tarsal Bones / Q000293:injuries