705 results match your criteria Imaging in Neuropathic Arthropathy Charcot Joint

Monogenic disorders as mimics of juvenile idiopathic arthritis.

Pediatr Rheumatol Online J 2022 Jun 18;20(1):44. Epub 2022 Jun 18.

NW Genomic Laboratory Hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Background: Juvenile idiopathic arthritis is the most common chronic rheumatic disease of childhood. The term JIA encompasses a heterogenous group of diseases. The variability in phenotype of patients affected by the disease means it is not uncommon for mimics of JIA to be misdiagnosed. Read More

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Surgical Considerations for the Acute and Chronic Charcot Neuroarthropathy of the Foot and Ankle.

Clin Podiatr Med Surg 2022 Apr;39(2):331-341

Division of Podiatric Surgery, LVPG Orthopedics and Sports Medicine, Lehigh Valley Health Network, 250 South Cedar Crest Boulevard, Suite 110, Allentown, PA 18103, USA; Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA.

Charcot neuroarthropathy (CN) of the foot/ankle is a devastating complication that can occur in neuropathic patients. It is a progressive and destructive process that is characterized by acute fractures, dislocations, and joint destruction that will lead to foot and/or ankle deformities. Early diagnosis is imperative, and early treatment may be advantageous, but the condition is not reversible. Read More

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Charcot Joint.

Ann Neurol 2022 03 10;91(3):436-437. Epub 2022 Feb 10.

New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY.

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Fracture of the Bone Inducing Its Necrosis as the End Point in the Evolution of Untreated Neuroarthropathy.

Medicina (Kaunas) 2021 Dec 22;58(1). Epub 2021 Dec 22.

Diabetology Department, Centre Hopitalier Sud Francilien, 91100 Corbeil-Essonnes, France.

We describe here the case of a female patient with type I diabetes who developed active Charcot neuroarthropathy in the foot. Due to therapeutic noncompliance, talus necrosis was discovered 2 years after the presentation of neuroarthropathy. The impact of untreated neuroarthropathy on the bone is commonly described as fracture and joint dislocation, but we describe the complete disappearance of the bony structure and its necrosis associated with active neuroarthropathy in a patient who refused offloading. Read More

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December 2021

Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review.

J Int Med Res 2021 Nov;49(11):3000605211058871

Research Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

Charcot arthropathy is a type of destructive osteoarthropathy characterized by neurotrophic and sensory disorders. The condition is relatively rare, with an insidious onset, and it is easily misdiagnosed. Total knee arthroplasty (TKA) can cause excessive joint wear, continuous inflammatory stimulation of the prosthesis, postoperative residual cavity, prosthesis loosening and subsidence, peripheral fracture, infection, and other complications. Read More

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November 2021

Fracture in an arthrodesed Charcot's knee joint.

BMJ Case Rep 2021 Nov 17;14(11). Epub 2021 Nov 17.

Department of Orthopaedic & Joint Replacement Surgery, Indraprastha Apollo Hospital, New Delhi, Delhi, India.

Charcot's joint is a type of neuro-arthropathy, where asymmetrical damage of the involved joint happens haphazardly, without following any described pattern. We present a rare case of Charcot's joint involving the knee joint in an adult male following spina bifida. His knee joint was successfully fused after two surgeries. Read More

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November 2021

Tabetic arthropathy of the knee, complicated by lower limb myonecrosis.

BMJ Case Rep 2021 Jul 19;14(7). Epub 2021 Jul 19.

Tan Tock Seng Hospital, National Healthcare Group, Singapore.

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Cervical Disorders in Mucopolysaccharidosis IVA-Morquio disease.

World Neurosurg 2021 09 8;153:41-43. Epub 2021 Jul 8.

Complexo Hospital de Clínicas, Universidade Federal do Parana, Curitiba, Brazil.

Morquio disease or mucopolysaccharidosis type IVA (Online Mendelian Inheritance in Man No. 253000) is a rare autosomal recessive disease classified in the group of metabolism inborn errors. The glycosaminoglycans accumulate in chondrocytes, which disturbs bone growth and leads to skeletal manifestations, such as skeletal dysplasia and a short stature. Read More

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September 2021

Bilateral Charcot Arthropathy Treated with Bolt-Beam Constructs in the Setting of Unilateral Foot Ulcers: A Report of 2 Cases.

JBJS Case Connect 2021 07 9;11(3). Epub 2021 Jul 9.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee/ Campbell Clinic, Memphis, Tennessee.

Case: Two type-2 diabetic patients presented with bilateral Charcot arthropathy with midfoot collapse and presence of foot ulcerations on one side. The ulcerated extremity in each patient was treated surgically with fusion bolt, beam, and plate constructs in the setting of open ulceration. Bilateral extremities were treated surgically and went on to bony union and wound healing. Read More

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Early Failure of the Paragon28 Phantom Hindfoot Fusion Nail: A Case Report.

JBJS Case Connect 2021 07 8;11(3). Epub 2021 Jul 8.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, Tennessee.

Case: Tibio-talar-calaneal fusion nails can be used to treat acute ankle fractures in patients with diabetes, Charcot arthropathy, or other comorbidities. Recently, Paragon28 released the Phantom Hindfoot Fusion Nail (Phantom nail) with a unique design feature-a proximal coil. We present a case of an ankle fracture-dislocation in a diabetic patient treated with the Paragon28 nail who experienced early implant failure. Read More

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Duration of total contact casting for resolution of acute Charcot foot: a retrospective cohort study.

J Foot Ankle Res 2021 Jun 15;14(1):44. Epub 2021 Jun 15.

Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, 3086, Australia.

Background: Charcot neuroarthropathy (Charcot foot) is a highly destructive joint disease of the foot and ankle. If there is delayed diagnosis and treatment, it can lead to gross deformity, instability, recurrent ulceration and/or amputation. Total contact casting (TCC) is a treatment commonly used to immobilise the foot and ankle to prevent trauma, further destruction and preserve the foot structure during the inflammatory phase. Read More

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[Diabetic neuropathic osteoarthropathy].

MMW Fortschr Med 2021 06;163(11):65-69

Zentrum für Fuß- und Sprunggelenkschirurgie, Schönklinik München, München, Deutschland.

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Charcot Arthropathy of Foot and Ankle: Radiographic and Clinical Patterns with Related Outcomes.

Int Orthop 2021 09 28;45(9):2201-2208. Epub 2021 May 28.

Department of Orthopedic Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Purpose: Our aim is to retrospectively review and evaluate the patterns of affection of Charcot arthropathy of foot and ankle.

Methods: Two hundred twenty-eight patients (235 feet) with post-acute Charcot were reviewed and classified anatomically through plain radiographs into type I and type II based on single or multiple regions affected, respectively. Type I included ankle, Lisfranc (tarsometatarsal), naviculocuneiform, forefoot, and hindfoot which includes one of the following: talonavicular joint, calcaneocuboid joint, or calcaneus. Read More

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September 2021

Charcot knee - presentation, diagnosis, management - a scoping review.

Clin Rheumatol 2021 Nov 24;40(11):4445-4456. Epub 2021 May 24.

Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.

Background: Charcot arthropathy is a progressive, non-infectious, destructive inflammatory process. Charcot arthropathy of the knee (CK) is rare and diagnosis is often delayed, resulting in detrimental outcomes. This scoping review aims to investigate the literature on CK, present the pathognomonic features of CK to aid early diagnosis, and suggest gaps in the literature for future research. Read More

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November 2021

MRI-based early diagnosis: a diabetic Charcot spine case report.

BMC Neurol 2021 May 19;21(1):202. Epub 2021 May 19.

Division of Endocrinology and Metabolism, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Background: Spinal neuroarthropathy (SNA), also known as Charcot spine, is an uncommon aggressive arthropathy, secondary to loss of proprioceptive and nociceptive feedback from the spine. A diagnosis of SNA is frequently delayed due to the scarcity of symptoms in its early stages, leading to significant neurological deterioration. Therefore, prompt suspicion of the disease is critical to providing better outcomes. Read More

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Total Knee Arthroplasty With Megaprosthesis for Idiopathic Charcot Knee.

J Am Acad Orthop Surg Glob Res Rev 2021 03 19;5(3). Epub 2021 Mar 19.

From the Department of Orthopaedic Surgery (Dr. Alshaygy and Dr. Aljassir), College of Medicine (Dr. Alzahim), King Saud University, Riyadh, Saudi Arabia, and the King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia (Dr. Alhamdan).

Charcot knee is a rare condition with few reported cases in the literature. Although the clinical presentation is highly variable, Charcot knee classically presents with painful arthropathy in addition to instability and decreased range of motion. Herein, we describe the case of a 72-year-old man with idiopathic Charcot knee. Read More

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Syringobulbia in a Setting of Charcot Arthropathy of the Elbow Secondary to Syringomyelia: A Case Report.

JBJS Case Connect 2021 03 5;11(1). Epub 2021 Mar 5.

Department of Orthopaedics, T.N.M.C. and B.Y.L. Nair Ch. Hospital, Mumbai, Maharashtra, India.

Case: The authors present a case of syringobulbia in a setting of elbow arthropathy due to syringomyelia. The patient had painless elbow instability with subtle neurological findings such as ulnar neuropathy, palatal palsy, and dysphonia. As she denied surgery, she was managed with physiotherapy and orthosis. Read More

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Beaming in the Charcot foot: A case series with 12-month minimum follow-up.

Foot (Edinb) 2021 Jun 18;47:101814. Epub 2021 Apr 18.

Department of Orthopaedics and Trauma Surgery, 'Gregorio Marañón' University Hospital, Madrid, Spain. Electronic address:

Background: Charcot neuropathic arthropathy is a progressive degeneration of the weightbearing joints of the foot induced by denervation and disturbance of sensorial perception. This entity clinically behaves as a destructive fast-progressive arthropathy, resulting in loss of independent walking and often requiring amputation of the leg. This study analyzes our experience with midfoot realignment arthrodesis and stabilization by intramedullary beaming in patients with Charcot diabetic foot as a limb-sparing procedure. Read More

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Factors impacting the evidence-based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review.

J Foot Ankle Res 2021 Apr 7;14(1):26. Epub 2021 Apr 7.

Holsworth Research Initiative, La Trobe Rural Health School, College of Science, Health and Engineering, La Trobe University, Bendigo, Australia.

Background: Acute Charcot Neuroarthropathy (CN) is a destructive condition that is characterised by acute fractures, dislocations and joint destruction in the weight-bearing foot. The acute phase is often misdiagnosed and can rapidly lead to devastating health outcomes. Early diagnosis and management of CN is imperative to attenuate progression of this condition. Read More

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[50/m-Nonhealing Charcot foot with a fistula : Preparation for the medical specialist examination: case 63].

Orthopade 2021 04 25;50(Suppl 1):175-180. Epub 2021 Feb 25.

Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, TU München, Ismaninger Str. 22, 81675, München, Deutschland.

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Are the Sanders-Frykberg and Brodsky-Trepman Classifications Reliable in Diabetic Charcot Neuroarthropathy?

J Foot Ankle Surg 2021 May-Jun;60(3):432-435. Epub 2021 Feb 3.

Professor, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX; Professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

The purpose of this study was to assess the intra- and inter-reader reliability of the 2 Charcot neuroarthropathy classifications (Sanders-Frykberg and Brodsky-Trepman), as well as Eichenholtz staging. We hypothesized that the inter-reader reliability, with respect to these 3 classification systems, would be moderate at best. Digital radiographic images were organized in a digital slide presentation without clinical information. Read More

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How Common Is the Rare Charcot Foot in Patients With Diabetes?

Diabetes Care 2021 04 1;44(4):e62-e63. Epub 2021 Feb 1.

Section for Data, Biostatistics and Pharmacoepidemiology, Center for Clinical Research and Prevention, Bispebjerg Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark.

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A Systematic Review of Angular Deformities in Charcot Neuroarthropathy.

J Foot Ankle Surg 2021 Mar-Apr;60(2):368-373. Epub 2020 Oct 7.

Professor and Attending Physician, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Charcot neuroarthropathy of the foot and ankle is associated with periarticular deformities and progressive radiographic changes. There have been studies analyzing the radiographic angulations and deformity progression in Charcot neuroarthropathy deformity. The aim of this paper is to provide systematic review of studies that evaluate foot and ankle radiographic parameters in patients with Charcot neuroarthropathy. Read More

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Midfoot Charcot Neuro-arthropathy Precipitated by First or Fifth ray Amputation.

Foot Ankle Surg 2021 Aug 11;27(6):673-676. Epub 2020 Oct 11.

Trauma and Orthopaedics Department, Sheffield Teaching Hospitals NHS Trust, Herries Rd, Sheffield S5 7AU, UK.

Background: Charcot Neuro-arthropathy (CN) can occur spontaneously in a neuropathic foot but is often precipitated by an insult to the foot, such as trauma. We noted an association between 1st and 5th ray amputations and the development of midfoot CN in our clinics. We therefore set out to analyse our data over a 6-year period to evaluate and improve our practice. Read More

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Neuropathic osteoarthropathy of the shoulder secondary to syringomyelia.

Diagn Interv Imaging 2021 Mar 20;102(3):193-194. Epub 2020 Oct 20.

Department of Medical Specialties, Universidad de la Frontera, Claro Solar #115, ZC: 4781218, Temuco, Chile.

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Neuropathic Arthropathy of a Knee Joint: A Case Report.

Isr Med Assoc J 2020 10;22(10):650-651

Shine Rheumatology Institute, Rambam Health Care Campus, Haifa, Israel.

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October 2020

Thecal Transection and Canal Fusion With Structural Allograft for Refractory Charcot Spinal Arthropathy: Technical Note.

Clin Spine Surg 2022 06 3;35(5):204-207. Epub 2020 Jul 3.

Orthopaedics, West Virginia University, Morgantown, WV.

Charcot spinal arthropathy presents significant surgical challenges, with large bony defects and limitations in fixation and reconstruction which are exacerbated in often numerous revision surgeries. These challenges make the development of additional salvage techniques useful. We report on a technique of thecal transection and canal fusion with structural allograft as a salvage technique for refractory cases of Charcot spinal arthropathy. Read More

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Charcot Midfoot Reconstruction: Does Subtalar Arthrodesis or Medial Column Fixation Improve Outcomes?

J Foot Ankle Surg 2020 Nov - Dec;59(6):1219-1223. Epub 2020 Jul 18.

Assistant Professor, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Charcot neuroarthropathy is a complication of neuropathy often secondary to diabetes mellitus and most commonly affects the midfoot. In these patients, reconstruction of the foot may be required for limb salvage. A superconstruct technique has previously been described using intramedullary beaming fixation of the midfoot and hindfoot to span the zone of injury. Read More

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The "Balgrist Score" for evaluation of Charcot foot: a predictive value for duration of off-loading treatment.

Skeletal Radiol 2021 Feb 23;50(2):311-320. Epub 2020 Jul 23.

Faculty of Medicine, University of Zurich, Zurich, Switzerland.

Objective: To develop a new magnetic resonance imaging(MRI) scoring system for evaluation of active Charcot foot and to correlate the score with a duration of off-loading treatment ≥ 90 days.

Methods: An outpatient clinic database was searched retrospectively for MRIs of patients with active Charcot foot who completed off-loading treatment. Images were assessed by two radiologists (readers 1 and 2) and an orthopedic surgeon (reader 3). Read More

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February 2021