632 results match your criteria Imaging in Neuropathic Arthropathy Charcot Joint


Charcot spinal arthropathy presenting as adjacent segment disease after lumbar spinal fusion surgery in Parkinson's disease: A case report.

J Clin Neurosci 2018 Nov 13. Epub 2018 Nov 13.

Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Charcot spinal arthropathy (CSA) is a rare spinal disorder presenting neuropathic osteoarthropathy of facet joints leading to progressive destruction. After L4-5 PLIF, a 63-year-old woman with Parkinson's disease (PD) underwent L3-4 and L5-S1 PLIF for primary adjacent segment disease caused by degenerative change, which was found as facet joint osteophytes and a vacuum disc phenomenon with endplate sclerosis. However, her postural disorder from PD deteriorated, and strong opioid analgesics were administered for severe recurring low back pain. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.11.013DOI Listing
November 2018
1 Read

Pedicled Vascularized Bone Grafts for Posterior Lumbosacral Fusion: A Cadaveric Feasibility Study and Case Report.

Spine Deform 2018 Sep - Oct;6(5):498-506

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 W. Thomas Rd., Phoenix, AZ 85013, USA. Electronic address:

Study Design: Cadaveric feasibility study and case report.

Objective: To determine if it is feasible to rotate pedicled vascularized bone graft (VBG) from L1 to S1 via a posterior approach.

Summary Of Background Data: VBG has been used to successfully augment fusion rates in various skeletal pathologies. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2212134X183002
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http://dx.doi.org/10.1016/j.jspd.2018.02.006DOI Listing
January 2019
10 Reads

Concordance Between Bone Pathology and Bone Culture for the Diagnosis of Osteomyelitis in the Presence of Charcot Neuro-Osteoarthropathy.

J Foot Ankle Surg 2018 Sep - Oct;57(5):919-923. Epub 2018 Jun 4.

Surgeon, Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington DC. Electronic address:

The diagnosis of osteomyelitis (OM) is a challenging but critical pathology to uncover in patients with concomitant Charcot neuro-osteoarthropathy (CN). The reference standard to diagnose OM is bone biopsy for histopathologic and microbiologic examination. The presence of CN, however, can have a negative effect on the accuracy of either method to identify OM. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.016DOI Listing
January 2019
46 Reads

Diabetic foot syndrome: Charcot arthropathy or osteomyelitis? Part I: Clinical picture and radiography.

J Ultrason 2018 Mar 30;18(72):42-49. Epub 2018 Mar 30.

First Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland.

One of significant challenges faced by diabetologists, surgeons and orthopedists who care for patients with diabetic foot syndrome is early diagnosis and differentiation of bone structure abnormalities typical of these patients, i.e. osteitis and Charcot arthropathy. Read More

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http://jultrason.pl/index.php/issues/volume-18-no-72/diabeti
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http://dx.doi.org/10.15557/JoU.2018.0007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911718PMC
March 2018
6 Reads

Neuropathic Arthropathy of the Glenohumeral Joint A Review of the Literature.

Bull Hosp Jt Dis (2013) 2018 Jun;76(2):88-99

Neuropathic arthropathy, also known as Charcot arthropathy, is a degenerative disorder most commonly characterized by rapid destruction of the joint with extensive involvement of the bone and soft tissue. The underlying pathophysiology is thought to be due to loss of nociception (pain sensation), most frequently caused by diabetes mellitus, syphilitic myelopathy, or syringomyelia. A neuropathic shoulder is rare, with historic case series forming the bulk of the literature. Read More

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Reliability of the Measurement of Cuboid Height in Midfoot Charcot Neuroarthropathy.

J Foot Ankle Surg 2018 Jul - Aug;57(4):759-760. Epub 2018 May 7.

Clinican Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA. Electronic address:

Cuboid height is a quantitative radiographic measurement of the relationship of the inferior cuboid to the plantar osseous plane of the lateral column of the foot and might be associated with poor clinical outcomes in patients with midfoot Charcot neuroarthropathy. We evaluated the reliability of the cuboid height measured by a group of foot and ankle surgeons on subjects with midfoot Charcot neuroarthropathy. Ten board-certified foot and ankle surgeons, 10 residents, and 10 medical students measured the cuboid height on 11 lateral weightbearing radiographic projections of subjects with midfoot Charcot neuroarthropathy. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.02.006DOI Listing
December 2018

Prognostic Scoring System for Patients Undergoing Reconstructive Foot and Ankle Surgery for Charcot Neuroarthropathy: The Charcot Reconstruction Preoperative Prognostic Score.

J Foot Ankle Surg 2018 May - Jun;57(3):451-455. Epub 2018 Mar 21.

Assistant Professor, Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA; Director, Podiatric Medicine and Surgery Residency Program, University of Pittsburgh Medical Center, Pittsburgh, PA; Chief, Podiatry Section, University of Pittsburgh Medical Center Mercy Hospital, Pittsburgh, PA.

Charcot neuroarthropathy is a destructive process that occurs in patients with peripheral neuropathy, often due to poorly controlled diabetes mellitus. Surgical reconstruction can be necessary to provide a plantigrade foot that is wound free. A risk of major amputation exists after a Charcot event and after attempted reconstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516173062
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http://dx.doi.org/10.1053/j.jfas.2017.10.021DOI Listing
October 2018
3 Reads

Ruptured Pseudoaneurysm of the Lateral Plantar Artery After Tibiotalocalcaneal Fusion With Retrograde Nail-A Rare Complication.

J Foot Ankle Surg 2018 Mar - Apr;57(2):393-395. Epub 2017 Dec 19.

Director and Chief, Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, India.

We report a rare presentation of a ruptured pseudoaneurysm of the lateral plantar artery following tibiotalocalcaneal fusion with a retrograde nail at 1 month after the index surgery. Although case reports of pseudoaneurysms of larger arteries such as the anterior tibial artery and posterior tibial artery after ankle surgery (e.g. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.08.017DOI Listing
September 2018
18 Reads

A retrospective audit of the characteristics and treatment outcomes in patients with diabetes-related charcot neuropathic osteoarthropathy.

N Z Med J 2017 Dec 15;130(1467):62-67. Epub 2017 Dec 15.

Endocrinologist, Endocrinology and Diabetes Department, Waitemata District Health Board, Auckland.

Aims: To review the characteristics, management and outcomes one year after diagnosis in patients with diabetes related charcot neuropathic osteoarthropathy (CN) treated at the Diabetes Podiatry service, Waitemata District Health Board (WDHB) between 2000-2014.

Methods: Patients with diabetes and recorded diagnosis of CN were identified from the podiatry service records. Clinical details were retrospectively obtained from WDHB databases and patient medical records. Read More

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December 2017
14 Reads

Camptodactyly-Arthropathy-Coxa Vara-Pericarditis Syndrome with Shoulder Joint Involvement: A Case Report with Literature Review.

Rofo 2018 Sep 20;190(9):856-858. Epub 2017 Nov 20.

Diagnostic and interventional radiology, University of Jordan, Amman, Jordan.

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http://dx.doi.org/10.1055/s-0043-120765DOI Listing
September 2018
1 Read

New Fixation Methods for the Treatment of the Diabetic Foot: Beaming, External Fixation, and Beyond.

Clin Podiatr Med Surg 2018 Jan 3;35(1):63-76. Epub 2017 Oct 3.

Orthopedic Foot and Ankle Center, 300 Polaris Parkway, Westerville, OH 43082, USA. Electronic address:

Surgical correction of complex foot and ankle deformities secondary to Charcot neuroarthropathy remains a significant surgical challenge. New technological advancements in hardware have allowed for the use of augmented fixation techniques in midfoot deformity correction, including the use of indication-specific locking plates and beaming techniques that offer enhanced stability. Severe hindfoot deformity management can employ the use of internal fixation, including intramedullary hindfoot nails and circular external fixation frames for limb salvage. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.08.001DOI Listing
January 2018
16 Reads

Treating Charcot Arthropathy Is a Challenge: Explaining Why My Treatment Algorithm Has Changed.

Clin Podiatr Med Surg 2018 Jan 23;35(1):105-121. Epub 2017 Oct 23.

Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44512, USA.

Charcot deformity is a challenge that foot and ankle surgeons struggle to manage successfully. Despite the advances in knowledge, technology, and treatment modalities, limb loss is still greater than 10%. This article discusses the efficacy of conservative measures and traditional surgical approaches. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.08.012DOI Listing
January 2018
9 Reads

Osteomyelitis of the lower extremity: pathophysiology, imaging, and classification, with an emphasis on diabetic foot infection.

Emerg Radiol 2018 Apr 20;25(2):175-188. Epub 2017 Oct 20.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

Osteomyelitis is inflammation of the bone caused by an infectious organism, and is a difficult clinical problem. The pathophysiology, imaging, and classification of osteomyelitis are challenging, varying with the age of the patient (child versus adult), the chronicity of the infection (acute versus chronic), and the route of spread (hematogenous versus contiguous focus), as well as the immune and vascular status of the patient and affected region. The two most common classification schemes are those of Lew and Waldvogel, and Cierny and Mader. Read More

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http://dx.doi.org/10.1007/s10140-017-1564-9DOI Listing
April 2018
16 Reads

Pathogenesis and potential relative risk factors of diabetic neuropathic osteoarthropathy.

J Orthop Surg Res 2017 Oct 2;12(1):142. Epub 2017 Oct 2.

Spine Surgery Department, Honghui Hospital of Xi'an Jiaotong University College of Medicine, No. 76 Nanguo Road, Xi'an, 710054, People's Republic of China.

Diabetic neuropathic osteoarthropathy (DNOAP) is an uncommon, but with considerable morbidity and mortality rates, complication of diabetes. The real pathogenesis is still unclear. The two popular theories are the neuro-vascular theory and neuro-traumatic theory. Read More

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http://dx.doi.org/10.1186/s13018-017-0634-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5625723PMC
October 2017
2 Reads

A Systematic Review of Current Surgical Interventions for Charcot Neuroarthropathy of the Midfoot.

J Foot Ankle Surg 2017 Nov - Dec;56(6):1249-1252. Epub 2017 Aug 1.

Professor of Orthopedic Surgery, Chief, Division of Foot & Ankle Surgery, and Director, Foot & Ankle Fellowship Program, Department of Orthopedics, University of Texas Medical Branch, Galveston TX.

Charcot neuroarthropathy of the foot, or Charcot foot, is a pathologic entity of the foot, associated with diabetes mellitus. Owing to the increase of diabetes mellitus in developed nations worldwide, the prevalence of Charcot foot has been increasing. The initial treatment of Charcot foot is often conservative, with methods including bracing, casting, and the use of customized orthopedic shoes. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.06.011DOI Listing
July 2018
30 Reads

Teaching Neuro: The Charcot shoulder: Chiari malformation with syringomyelia associated with arthropathy.

Neurology 2017 07;89(4):e38-e39

From the Departments of Neurology and Neurosurgery (L.F.B., T.Y.T.S., J.L.P., O.G.B.) and Orthopedics and Traumatology (B.E.), Universidade Federal de São Paulo, Sao Brazil.

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http://www.neurology.org/lookup/doi/10.1212/WNL.000000000000
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http://dx.doi.org/10.1212/WNL.0000000000004154DOI Listing
July 2017
13 Reads

Advanced MR Imaging Techniques for Differentiation of Neuropathic Arthropathy and Osteomyelitis in the Diabetic Foot.

Radiographics 2017 Jul-Aug;37(4):1161-1180

From the MRI Section, Department of Radiology, SERCOSA, Health Time, Calle Carmelo Torres 2, 23007 Jaén, Spain (T.M.N., A.L.A.); Department of Radiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio (A.L.A.); Department of Radiology, NYU Langone Medical Center, New York, NY (L.S.B.); MRI Section, Department of Radiology, DADISA, Health Time, Cádiz, Spain (M.G.C.); MRI Section, Department of Radiology, RESSALTA, Health Time, Córdoba, Spain (J.B.C.); and Department of Radiology, Clínica Girona, Catalan Institute of Health (IDI), University of Girona, Girona, Spain (J.C.V.).

Diagnosis and treatment of foot disease in patients with diabetes is a common clinical-radiologic challenge, particularly the differentiation of neuropathic arthropathy from osteomyelitis. Conventional clinical tests and imaging techniques have limited accuracy for evaluation of the diabetic foot. The introduction of morphologic magnetic resonance (MR) imaging in these patients has provided a qualitative leap in diagnosis. Read More

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http://dx.doi.org/10.1148/rg.2017160101DOI Listing
November 2017
30 Reads

Relationship of Cuboid Height to Plantar Ulceration and Other Radiographic Parameters in Midfoot Charcot Neuroarthropathy.

J Foot Ankle Surg 2017 Jul - Aug;56(4):748-755

Podiatric Student, Temple University School of Podiatric Medicine, Philadelphia, PA.

The objective of the present investigation was to examine the effect of cuboid height on the presence of plantar midfoot ulceration and the relationship of cuboid height to other commonly performed radiographic parameters during evaluation of midfoot Charcot neuroarthropathy. A retrospective analysis was performed of 68 feet in 60 subjects who met the inclusion criteria. We did not observe statistically significant differences in the presence of a plantar midfoot ulceration when considering a cuboid height threshold of 0. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.02.007DOI Listing

Milwaukee Shoulder Syndrome.

J Surg Orthop Adv 2017 ;26(1):54-57

ProScan Imaging Education Foundation, Cincinnati, Ohio.

Milwaukee shoulder syndrome (MSS) is a rare, rapidly destructive arthropathy associated with calcium hydroxyapatite crystal deposition. This condition is a combination of rotator cuff tear, osteoarthritic changes, noninflammatory joint effusion containing crystals, synovial hyperplasia, cartilage and subchondral bone destruction, and multiple osteochondral loose bodies. This article discusses pathophysiology, clinical presentation, differential considerations, and magnetic resonance imaging findings of MSS. Read More

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July 2017
8 Reads

Charcot Arthropathy Versus Osteomyelitis: Evaluation and Management.

Authors:
John Womack

Orthop Clin North Am 2017 Apr 1;48(2):241-247. Epub 2017 Feb 1.

Piedmont Orthopaedic Associates, 35 International Drive, Greenville, SC 29615, USA. Electronic address:

Charcot arthropathy of the foot and ankle is a severe complication of peripheral neuropathy and is most commonly seen in the developed world in association with diabetes mellitus. Correct diagnosis and differentiation from osteomyelitis of the foot and ankle are critical to guide treatment. It can exist concomitantly with osteomyelitis, typically in the setting of an advanced midfoot ulcer. Read More

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http://dx.doi.org/10.1016/j.ocl.2016.12.011DOI Listing
April 2017
3 Reads

Surgical Correction of the Achilles Tendon for Diabetic Foot Ulcerations and Charcot Neuroarthropathy.

Clin Podiatr Med Surg 2017 Apr 30;34(2):275-280. Epub 2016 Dec 30.

Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA. Electronic address:

Achilles tendon pathologic conditions are implicated in contributing to the development of many diabetic foot complications including diabetic foot ulceration and Charcot neuroarthropathy. Surgical correction of the diabetic equinus deformity has been studied as an isolated or adjunctive treatment when dealing with difficult-to-close diabetic foot ulcerations or when surgically addressing the diabetic Charcot neuroarthropathy foot or ankle. This article reviews the most common indications, complications, and surgical procedures for equinus correction by either a tendo-Achilles lengthening or gastrocnemius recession for the management of diabetic foot conditions. Read More

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http://dx.doi.org/10.1016/j.cpm.2016.10.013DOI Listing
April 2017
15 Reads

Complex ankle arthrodesis with step-cut osteotomy in Charcot arthropathy with bone loss.

Foot Ankle Surg 2017 Mar 9;23(1):e5-e7. Epub 2016 Sep 9.

University Hospital South Manchester, Manchester, UK.

We report a case of a complex limb salvage ankle arthrodesis in a patient with Charcot arthropathy. A step-cut osteotomy was performed in order to tackle the issues of anterior tibial bone loss; worsening leg length discrepancy; soft tissue contraction; joint instability and high risk of non-union. The construct formed by the step-cut allowed for the preservation of good bone stock; avoidance of further limb shortening; increased torsional stability and increased surface area for bony union. Read More

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http://dx.doi.org/10.1016/j.fas.2016.08.009DOI Listing
March 2017
2 Reads

Charcot spinal arthropathy in patients with congenital insensitivity to pain: a report of two cases and review of the literature.

Neurosurg Rev 2018 Oct 26;41(4):899-908. Epub 2017 Jan 26.

Department of Clinical Neurological Sciences, London Health Sciences Centre, Western University, 339 Windermere Road, London, ON, N6A 5A5, Canada.

Charcot spine, or neuropathic spinal arthropathy, involves the progressive destruction of the spinal joint due to the lack of normal protective sensations and proprioception. A rare cause of Charcot spine is congenital insensitivity to pain, which is an absent or abnormal response to painful stimuli. There are few case reports describing this condition, and long-term follow-up data are limited. Read More

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http://link.springer.com/10.1007/s10143-017-0814-3
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http://dx.doi.org/10.1007/s10143-017-0814-3DOI Listing
October 2018
6 Reads

Charcot shoulder and elbow: a review of the literature and update on treatment.

J Shoulder Elbow Surg 2017 Mar 19;26(3):544-552. Epub 2017 Jan 19.

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

Charcot arthropathy of the shoulder and elbow is a rare disease process initially described in the 1700s; however, it was not until the 19th century that physicians understood its association with other disease processes such as cervical spine pathology and diabetes. A primary complaint is painful or painless joint dysfunction, meaning the orthopedic surgeon is regularly the first physician to evaluate the patient. Frequently, the condition of these patients is misdiagnosed. Read More

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http://dx.doi.org/10.1016/j.jse.2016.10.015DOI Listing
March 2017
4 Reads

Expression of the receptor activator of nuclear factor-kB ligand in peripheral blood mononuclear cells in patients with acute Charcot neuroarthropathy.

Int J Med Sci 2016 20;13(11):875-880. Epub 2016 Oct 20.

Department of Diagnostic and Molecular Imaging, Radiation Therapy and Interventional Radiology, University Hospital Tor Vergata, Rome, Italy.

The receptor activator of nuclear factor-kB (RANK), ligand (RANK-L) and osteoprotegerin (OPG) are implicated in the pathogenesis of acute Charcot neuroarthropathy (CN). This study aimed to investigate the expression of RANK-L and OPG in peripheral blood mononuclear cells (PBMC) from patients with acute CN. We found that the expression of RANK-L was lower in patients with acute CN as compared with diabetic control subjects and healthy control participants; whereas OPG expression was not detected in patients and in both control groups. Read More

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http://dx.doi.org/10.7150/ijms.14579DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5236002PMC
March 2017
14 Reads

Staged Reconstruction for Acute Charcot's Subtalar Joint Dislocation.

J Am Podiatr Med Assoc 2016 Nov;106(6):445-448

Charcot's neuroarthropathy can have devastating consequences if left untreated or misdiagnosed. With progression of the disease from the acute to the chronic phase, substantial deformity and instability may result, leading to ulceration and a nonfunctional limb. The purpose of this case report is to present a staged reconstruction for active Charcot's neuroarthropathy involving the subtalar joint with complete dislocation that resulted in limb salvage and maintenance of limb function at 1-year follow-up. Read More

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http://dx.doi.org/10.7547/15-088DOI Listing
November 2016
3 Reads

Charcot Collapse: Does Collapse Pattern Dictate Osseous Metabolism?

Foot Ankle Spec 2017 Oct 28;10(5):428-434. Epub 2016 Dec 28.

Western Pennsylvania Hospital Department of Foot and Ankle Surgery, Pittsburgh, Pennsylvania (LG).

Charcot fracture pattern (FP) and Charcot dislocation pattern (DP) are 2 distinct collapse patterns identified in Charcot neuroarthropathy of the foot and ankle. These patterns are believed to demonstrate relative differences in central bone mineral density (BMD), which has been theoretically extrapolated to describe local BMD. To assess variation in local bone composition of FP and DP patients, 10 patients, 5 DP and 5 FP were recruited. Read More

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http://dx.doi.org/10.1177/1938640016685144DOI Listing
October 2017

Medical Imaging in Differentiating the Diabetic Charcot Foot from Osteomyelitis.

Clin Podiatr Med Surg 2017 Jan 3;34(1):9-14. Epub 2016 Sep 3.

Reconstructive Foot and Ankle Surgery, Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA. Electronic address:

Diabetic Charcot neuroarthropathy (DCN) poses a great challenge to diagnose in the early stages and when plain radiographs do not depict any initial signs of osseous fragmentation or dislocation in a setting of a high clinical index of suspicion. Medical imaging, including magnetic resonance imaging, computed tomography, and advanced bone scintigraphy, has its own unique clinical indications when treating the DCN with or without concomitant osteomyelitis. This article reviews different clinical case scenarios for choosing the most accurate medical imaging in differentiating DCN from osteomyelitis. Read More

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http://dx.doi.org/10.1016/j.cpm.2016.07.002DOI Listing
January 2017
10 Reads

Revisional Surgery of the Diabetic Charcot Foot and Ankle.

Clin Podiatr Med Surg 2017 Jan 2;34(1):77-92. Epub 2016 Sep 2.

UPMC Podiatric Medicine and Surgery Residency, Pittsburgh, PA, USA.

Charcot neuroarthropathy (CN) is a difficult problem for the foot and ankle surgeon. If surgery is required, little is known or available regarding the best methods and timing. When the initial attempt of reconstruction fails, revision of CN is even more demanding. Read More

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http://dx.doi.org/10.1016/j.cpm.2016.07.009DOI Listing
January 2017
6 Reads

Surgical Treatment Options for the Diabetic Charcot Hindfoot and Ankle Deformity.

Clin Podiatr Med Surg 2017 Jan 2;34(1):53-67. Epub 2016 Sep 2.

Department of Orthopaedics and Traumatology, Istanbul Cerrahi Hospital, Hakkı Yeten Cad., Ferah Sok. No: 22, Fulya, Istanbul 34365, Turkey.

Charcot neuroarthropathy is associated with progressive, noninfectious, osteolysis-induced bone and joint destruction. When the ankle and/or hindfoot is affected by the destruction process, management is further complicated with collapse and destruction of the talar body, which increases instability around the ankle. In this patient population, arthrodesis is the most commonly used surgical procedure. Read More

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http://dx.doi.org/10.1016/j.cpm.2016.07.007DOI Listing
January 2017
6 Reads

Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity.

Clin Podiatr Med Surg 2017 Jan 6;34(1):43-51. Epub 2016 Sep 6.

Orthopaedic Department, Osteoarthritis Research Center Basel, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 11-15, Basel 4010, Switzerland. Electronic address:

Management of diabetic Charcot midfoot deformity is one of the most demanding aspects of foot and ankle surgery. Its treatment should aim at reducing the rate of complications, including foot and ankle amputations or limb loss. Attempting reconstruction at Eichenholtz stages I and II carries the risk of infection and loss of fixation. Read More

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http://dx.doi.org/10.1016/j.cpm.2016.07.006DOI Listing
January 2017
22 Reads

Multifocal neuropathic arthropathy in patient with undiagnosed neurosyphilis: A case report.

Int J STD AIDS 2017 06 2;28(7):729-731. Epub 2016 Nov 2.

Department of Orthopedic Surgery, Inje University, Busan, Republic of Korea.

Although the prevalence of syphilis has decreased significantly, syphilis is still a common cause of neuropathic arthropathy. Tabetic arthropathy means progressive painless joint destruction that is related to neurosensory deficits caused by syphilis. In general, lower limb joints are involved and gradual swelling and instability of the involved joints are observed. Read More

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http://dx.doi.org/10.1177/0956462416679068DOI Listing
June 2017
7 Reads

Examining the Potential Use of a Novel Radiographic Scoring System for Determining Surgical Intervention in Diabetic Charcot Arthropathy.

Foot Ankle Spec 2017 Jun 1;10(3):198-203. Epub 2016 Nov 1.

Carle Foundation Hospital, Internal Medicine, Champaign, Illinois (RB).

Introduction: Although Eichenholtz and the Schon systems are commonly used to evaluate foot Charcot arthropathy on radiographs, a novel system with expanded characterization may have added benefit.

Methods: Patients with Charcot arthropathy and foot radiographs were grouped in nonsurgical group 1 (imaging sets at minimum 2-year interval) and surgical group 2 (imaging preceding fusion and/or amputation). Radiographs were scored with Eichenholtz and Schon systems, and a novel scoring system (summation of 0-3 rank for bone density, distention/swelling, debris, disorganization, and dislocation/subluxation). Read More

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http://dx.doi.org/10.1177/1938640016675407DOI Listing
June 2017
6 Reads

A swollen painful foot.

BMJ 2016 Nov 2;355:i5418. Epub 2016 Nov 2.

Department of Radiology, East Sussex Hospitals NHS Trust.

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http://dx.doi.org/10.1136/bmj.i5418DOI Listing
November 2016
1 Read

Pre-surgical CT-assessment of neurogenic myositis ossificans of the hip and risk factors of recurrence: a series of 101 consecutive patients.

BMC Musculoskelet Disord 2016 10 18;17(1):433. Epub 2016 Oct 18.

APHP, Radiology Department, Neuro-musculoskeletal Pole, Raymond Poincaré Hospital, 92380, Garches, France.

Background: Neurogenic Myositis Ossificans (NMO) is a rare disabling pathology characterized by peri-articular heterotopic ossifications following severe peripheral or central nervous system injuries. It results in ankylosis and vessels or nerves compressions. Our study aimed to describe the pre-operative findings of patients with NMO of the hip using biphasic computerized tomography (CT). Read More

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http://dx.doi.org/10.1186/s12891-016-1294-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070170PMC
October 2016
12 Reads

Pathognomonic acetabular cysts in camptodactyly-arthropathy-coxa vara-pericarditis (CACP) syndrome.

Indian J Med Res 2016 Jun;143(6):834-835

Department of Orthopaedics & Traumatology, Osmania General Hospital, Afzalgunj, Hyderabad 500 012, Telangana, India.

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http://dx.doi.org/10.4103/0971-5916.192082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5094128PMC
June 2016
8 Reads

Syringomyelic Neuropathic Arthropathy of the Elbow.

N Z Med J 2016 Oct 14;129(1443):87-91. Epub 2016 Oct 14.

Department of Orthopaedic Surgery, Middlemore Hospital, Auckland.

Neuropathic Arthropathy or Charcot joint is a progressive, destructive arthritis that is associated with an underlying neurological disorder. We present a case of a 30 year-old male who, three years prior, had ruptured his right distal biceps tendon with subsequent development of a deep infection. At representation, the patient's clinical picture was consistent with the re-emergence of a deep elbow infection. Read More

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October 2016
6 Reads

[Charcot arthropathy and diabetic foot].

Acta Ortop Mex 2016 Jan-Feb;30(1):33-45

Instituto Nacional de Rehabilitación. Secretaría de Salud de México. Calz. México Xochimilco No. 289, Tlalpan, Arenal de Guadalupe, 14389 Ciudad de México, D.F.

Diabetes mellitus is a major chronic degenerative disease, which currently is taking on alarming proportions in the population of our country. Neuropathic arthropathy is one of the most interesting degenerative joint disorders and increasingly common within the orthopedic pathology. It is defined as a progressive degenerative arthropathy, chronic and affecting one or more peripheral joints, and develops as a result of the lack of sensory perception normal in the innervation of joints. Read More

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September 2016
7 Reads

Neuropathic Minimally Invasive Surgeries (NEMESIS):: Percutaneous Diabetic Foot Surgery and Reconstruction.

Authors:
Roslyn J Miller

Foot Ankle Clin 2016 Sep;21(3):595-627

Department of Orthopaedics, Hairmyres Hospital, East Kilbride, Lanarkshire, UK; The London Orthopaedic Clinic, London, UK. Electronic address:

Patients with peripheral neuropathy associated with ulceration are the nemesis of the orthopedic foot and ankle surgeon. Diabetic foot syndrome is the leading cause of peripheral neuropathy, and its prevalence continues to increase at an alarming rate. Poor wound healing, nonunion, infection, and risk of amputation contribute to the understandable caution toward this patient group. Read More

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http://dx.doi.org/10.1016/j.fcl.2016.04.012DOI Listing
September 2016
10 Reads

Charcot's Neuroarthropathy After Simultaneous Pancreas-Kidney TransplantA Case Report.

Authors:
Michael Wilson

J Am Podiatr Med Assoc 2016 Jul;106(4):294-8

Simultaneous pancreas-kidney transplant (SPKT) is an accepted approach and the treatment of choice in patients with type 1 diabetes with accompanying end-stage renal disease. Charcot's neuroarthropathy of the foot (CN) is a fairly common and devastating complication found in patients with long-standing, mostly uncontrolled, diabetes. However, CN has also been identified as a posttransplant consequence of SPKT. Read More

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http://dx.doi.org/10.7547/15-037DOI Listing
July 2016
6 Reads

Charcot arthropathy in ultrasound examination - a case report.

J Ultrason 2016 Jun 29;16(65):210-5. Epub 2016 Jun 29.

Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland; Department of Medical Imaging, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.

This article presents a patient with a long history of type 1 diabetes mellitus complicated with neuropathy and Charcot disease. The most common cause of neuropathic osteoarthropathy, called Charcot osteoarthropathy, is poorly controlled diabetes. The clinical picture is characterized by considerable edema, redness and increased skin temperature with relatively slight pain due to injury to nerve fibers responsible for pain sensation. Read More

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http://dx.doi.org/10.15557/JoU.2016.0022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954866PMC
June 2016
8 Reads

The Fate of Allogeneic Femoral Head Bone Grafts Using Varus-Valgus Constrained Total Knee Arthroplasty in Neuropathic Joints.

J Arthroplasty 2016 12 3;31(12):2778-2783. Epub 2016 Jun 3.

Department of Orthopedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Korea.

Background: This study was conducted to assess the clinical and radiological results of total knee arthroplasty (TKA) with an allogeneic bone graft using varus-valgus constrained (VVC) prostheses in knees with severe bone defects and unstable neuropathy.

Methods: This study included 20 knees of 16 patients who underwent TKA between August 2001 and January 2006 due to unstable knees with severe bone destruction resulting from neuropathic arthritis. At the time of surgery, the mean age of the patients was 56 years. Read More

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http://dx.doi.org/10.1016/j.arth.2016.05.062DOI Listing
December 2016
17 Reads

Severe Sensory Neuronopathy in Primary Sjögren Syndrome Resulting in Charcot Arthropathy.

J Rheumatol 2016 07;43(7):1449-51

Associate Professor, departments of Community Health Sciences and Internal Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

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http://dx.doi.org/10.3899/jrheum.160137DOI Listing
July 2016
1 Read

Correlation of Systemic Inflammatory Markers With Radiographic Stages of Charcot Osteoarthropathy.

Foot Ankle Int 2016 Sep 9;37(9):924-8. Epub 2016 May 9.

Balgrist University Hospital Zurich, University of Zurich, Forchstrasse, Zurich, Switzerland.

Background: Charcot osteoarthropathy (COA) is characterized by a progressive destruction of bone and joint associated with neuropathy and is most common in the foot and ankle. Clinical manifestation of COA is frequently indistinguishable from other causes of pain, swelling, and erythema of the affected extremity, in particular, infection. Diagnosis of COA can be challenging in particular in early stages where radiographic changes are sparse. Read More

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http://dx.doi.org/10.1177/1071100716649173DOI Listing
September 2016
4 Reads

Neuropathic Edema In A Diabetic With Unilateral Thigh Swelling.

Authors:
David Holcombe

J La State Med Soc 2015 Sep-Oct;167(5):223-4. Epub 2015 Oct 15.

Louisiana Office of Public Health (Region VI) in Alexandria, LA.

A 54-year-old woman with a history of long-standing diabetes presented with a six-week history of swelling "on the entire left side of the body." The patient said she had experienced painful swelling of the left thigh and lower leg, but also painless swelling of the "left eye and shoulder." Read More

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September 2017
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Spinal Neuroarthropathy: Pathophysiology, Clinical and Imaging Features, and Differential Diagnosis.

Radiographics 2016 May-Jun;36(3):783-99. Epub 2016 Apr 8.

From the Department of Radiology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160 (L.D.L.); and Department of Radiology, University of Utah, Salt Lake City, Utah (L.N.L., K.L.S., R.K.S., L.M.S).

Spinal neuroarthropathy (SNA), or Charcot spine, is a progressive destructive arthropathy occurring after loss of neuroprotective sensation and proprioceptive reflexes. Clinical diagnosis is difficult because of the variable length to presentation after initial neurologic damage and the limited symptoms given preexisting neurologic deficits. SNA is also a diagnostic challenge because its imaging features are similar to those of spinal conditions such as discitis-osteomyelitis, osseous tuberculosis, hemodialysis-related spondyloarthropathy, and pseudarthrosis. Read More

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http://dx.doi.org/10.1148/rg.2016150121DOI Listing
March 2017
13 Reads

Total knee arthroplasty in patients with Charcot joints.

Knee Surg Sports Traumatol Arthrosc 2016 Aug 26;24(8):2672-7. Epub 2016 Mar 26.

Department of Orthopedics, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, Hunan, China.

Purpose: Although total knee arthroplasty (TKA) entails diverse operative techniques and achieves varying results in patients with different knee pathologies, few studies have discussed TKA for Charcot joints. This study aimed to investigate the efficacy of TKA in patients with Charcot knees.

Methods: From 2009 to 2013, seven patients with eight Charcot knees were admitted to our institution. Read More

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http://dx.doi.org/10.1007/s00167-016-4073-6DOI Listing
August 2016
8 Reads

Tabetic arthropathy of the knee: MRI aspects.

Joint Bone Spine 2016 Oct 17;83(5):579. Epub 2016 Mar 17.

Department of Radiology, Military Hospital Moulay Ismail, 50020 Meknes, Morocco.

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http://dx.doi.org/10.1016/j.jbspin.2016.02.001DOI Listing
October 2016
5 Reads

Surgical Management of Charcot Deformity for the Foot and Ankle-Radiologic Outcome After Internal/External Fixation.

J Foot Ankle Surg 2016 May-Jun;55(3):522-8. Epub 2016 Feb 19.

Department of Orthopedic Surgery, Hannover Medical School, Hannover, Germany.

Charcot neuropathy (CN) is a severe joint disease that makes surgical planning very challenging, because it is combined with ankle instability, serious deformities, and recurrent ulceration. The aim of the present study was to examine the rate of bone fusion after external or internal fixation in patients with CN. We retrospectively examined 58 patients with CN who had undergone reconstruction of the ankle either with tibiotalocalcaneal or tibiocalcaneal arthrodesis. Read More

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http://dx.doi.org/10.1053/j.jfas.2015.12.008DOI Listing
June 2017
19 Reads

Neuropathic osteoarthropathy with and without superimposed osteomyelitis in patients with a diabetic foot.

Skeletal Radiol 2016 Jun 17;45(6):735-54. Epub 2016 Feb 17.

Institute of Radiology, School of Medicine, Catholic University, Largo A. Gemelli 1, 00168, Rome, Italy.

Soft tissue and bone infection involving the foot is one of the most common long-term complications of diabetes mellitus, implying a serious impairment in quality of life for patients in the advanced stages of the disease. Neuropathic osteoarthropathy often coexists and differentiating between these two entities is commonly challenging, but crucial, as the management may differ substantially. The importance of correct diagnosis cannot be understated and effective management requires a multidisciplinary approach owing to the complicated nature of therapy in such patients. Read More

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http://dx.doi.org/10.1007/s00256-016-2339-1DOI Listing
June 2016
18 Reads