The Charcot Foot in Diabetes

被引:357
作者
Rogers, Lee C. [1 ]
Frykberg, Robert G. [2 ]
Armstrong, David G. [3 ]
Boulton, Andrew J. M. [4 ]
Edmonds, Michael [5 ]
Ha Van, Georges [6 ]
Hartemann, Agnes [6 ]
Game, Frances [7 ]
Jefecoate, William [7 ]
Jirkovska, Alexandra [8 ]
Jude, Edward [4 ]
Morbach, Stephan [9 ]
Morrison, William B. [10 ]
Pinzur, Michael [11 ]
Pitocco, Dario [12 ,13 ]
Sanders, Lee [14 ]
Wukich, Dane K. [15 ]
Uccioli, Luigi [16 ]
机构
[1] Valley Presbyterian Hosp, Amputat Prevent Ctr, Los Angeles, CA 90024 USA
[2] Carl T Hayden Vet Affairs Med Ctr, Phoenix, AZ USA
[3] Univ Arizona, Coll Med, Tucson, AZ USA
[4] Univ Manchester, Dept Med, Manchester M13 9PL, Lancs, England
[5] Kings Coll Hosp London, Diabet Foot Clin, London, England
[6] Pitie Salpetriere Univ Hosp, Diabet & Metab Dis Dept, Paris, France
[7] Nottingham Univ Hosp NHS Trust, Dept Diabet & Endocrinol, Nottingham, England
[8] Ctr Diabet, Inst Clin & Expt Med, Prague, Czech Republic
[9] Marien Hosp, Dept Diabet & Angiol, Soest, Germany
[10] Thomas Jefferson Univ Hosp, Dept Radiol, Philadelphia, PA 19107 USA
[11] Loyola Univ Hlth Syst, Dept Orthoped Surg, Maywood, IL USA
[12] Univ Cattolica Sacro Cuore, Ctr Diabet, Gemelli Hosp, Rome, Italy
[13] Univ Cattolica Sacro Cuore, Foot Care Unit A, Gemelli Hosp, Rome, Italy
[14] Vet Affairs Med Ctr, Podiatry Serv, Lebanon, PA USA
[15] Univ Pittsburgh, Med Ctr, Dept Orthoped Surg, Pittsburgh, PA USA
[16] Univ Roma Tor Vergata, Dept Internal Med, Rome, Italy
关键词
RANDOMIZED CONTROLLED-TRIAL; ANKLE FRACTURES; NEUROPATHIC ARTHROPATHY; IN-111; LEUKOCYTE; RING FIXATION; NEUROARTHROPATHY; MELLITUS; ARTHRODESIS; MIDFOOT; PATIENT;
D O I
10.2337/dc11-0844
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The diabetic Charcot foot syndrome is a serious and potentially limb-threatening lower-extremity complication of diabetes. First described in 1883, this enigmatic condition continues to challenge even the most experienced practitioners. Now considered an inflammatory syndrome, the diabetic Charcot foot is characterized by varying degrees of bone and joint disorganization secondary to underlying neuropathy, trauma, and perturbations of bone metabolism. An international task force of experts was convened by the American Diabetes Association and the American Podiatric Medical Association in January 2011 to summarize available evidence on the pathophysiology, natural history, presentations, and treatment recommendations for this entity. © 2011 by the American Diabetes Association and the American Podiatric Medical Association.
引用
收藏
页码:2123 / 2129
页数:7
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