The acute Charcot foot in diabetics: diagnosis and management

被引：15

作者：

Yousaf, Sohail ^{[1
,2
]}

Dawe, Edward J. C. ^{[3
,4
,5
]}

Saleh, Alan ^{[1
]}

Gill, Ian R. ^{[1
]}

Wee, Alex ^{[6
]}

机构：

[1] Kingston Hosp NHS Fdn Trust, Kingston Upon Thames, Surrey, England

[2] Univ Brighton, Brighton, E Sussex, England

[3] Western Sussex Hosp NHS Fdn Trust, Chichester, W Sussex, England

[4] Brighton Med Sch, Brighton, E Sussex, England

[5] Sussex Med Sch, Brighton, E Sussex, England

[6] Frimley Hlth NHS Fdn Trust, Frimley, England

来源：

EFORT OPEN REVIEWS | 2018年 / 3卷 / 10期

关键词：

acute Charcot foot; diagnosis; management; INFRARED DERMAL THERMOMETRY; NEUROPATHIC OSTEOARTHROPATHY; ARTHROPATHY; OSTEOMYELITIS; NEUROARTHROPATHY; DEFORMITY; INFECTION; FIXATION; DISEASE; ANKLE;

D O I：

10.1302/2058-5241.3.180003

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Acute Charcot foot is a diagnostic challenge. The exact pathophysiology is not fully understood. Acute Charcot foot is often present with a history of trauma or cellulitis which does not respond to antibiotics. The condition is best managed within a multidisciplinary team. The mainstay of the treatment is mechanical off-loading and total contact casting. Surgery is reserved for select cases.

引用

页码：568 / 573

页数：6

共 37 条

[1]

Armstrong DG, 1997, J REHABIL RES DEV, V34, P317

[2]

Armstrong DG, 1997, PHYS THER, V77, P169, DOI 10.1093/ptj/77.2.169

[3] 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? [J].

Basu, Sandip ;

Chryssikos, Timothy ;

Houseni, Mohamed ;

Malay, D. Scot ;

Shah, Jagruti ;

Zhuang, Hongming ;

Alavi, Abass .

NUCLEAR MEDICINE COMMUNICATIONS, 2007, 28 (06) :465-472

[4] Diabetic foot: The orthopedic surgery angle [J].

Besse, J. -L. ;

Leemrijse, T. ;

Deleu, P. -A. .

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2011, 97 (03) :314-329

[5]

Caputo GM, 1998, AM FAM PHYSICIAN, V57, P2705

[6] The perils of procrastination: effects of early vs. delayed detection and treatment of incipient Charcot fracture [J].

Chantelau, E .

DIABETIC MEDICINE, 2005, 22 (12) :1707-1712

[7]

Charcot JM., 1868, ARCH PHYSIOL NORM P, V1, P161

[8] Duration of off-loading and recurrence rate in Charcot osteo-arthropathy treated with less restrictive regimen with removable walker [J].

Christensen, Tomas M. ;

Gade-Rasmussen, Birthe ;

Pedersen, Lis W. ;

Hommel, Eva ;

Holstein, Per E. ;

Svendsen, Ole L. .

JOURNAL OF DIABETES AND ITS COMPLICATIONS, 2012, 26 (05) :430-434

[9]

Eichenholtz S N., 1966, Charcot Joints

[10] Osteomyelitis or Charcot neuroosteoarthropathy? Differentiating these disorders in diabetic patients with a foot problem [J].

Ertugrul, Bulent M. ;

Lipsky, Benjamin A. ;

Savk, Oner .

DIABETIC FOOT & ANKLE, 2013, 4 (01)

← 1 2 3 4 →