661 results match your criteria Imaging in Neuropathic Arthropathy Charcot Joint


Closed arthrodesis in infected neuropathic ankles using Ilizarov ring fixation.

Bone Joint J 2020 Apr;102-B(4):470-477

Purulent Osteology Clinic, Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, Kurgan, Russia.

Aims: Infected and deformed neuropathic feet and ankles are serious challenges for surgical management. In this study we present our experience in performing ankle arthrodesis in a closed manner, without surgical preparation of the joint surfaces by cartilaginous debridement, but instead using an Ilizarov ring fixator (IRF) for deformity correction and facilitating fusion, in arthritic neuropathic ankles with associated osteomyelitis.

Methods: We retrospectively reviewed all the patients who underwent closed ankle arthrodesis (CAA) in Ilizarov Scientific Centre from 2013 to 2018 (Group A) and compared them with a similar group of patients (Group B) who underwent open ankle arthrodesis (OAA). Read More

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http://dx.doi.org/10.1302/0301-620X.102B4.BJJ-2019-1158.R1DOI Listing

[Diagnosis and treatment of Charcot's osteoarthropathy].

Zhongguo Gu Shang 2019 Dec;32(12):1168-1172

Department of Orthopaedics, Tangshan Branch of Nanjing General Hospital, Nanjing 211131, Jiangsu, China;

Charcot foot is a rare disease in clinic, its pathogenesis includes neurotrauma theory, neurovascular theory, comprehensive theory, and inflammatory factor theory. The disease is characterized by progressive joint and bone destruction of foot and ankle joint. Conventional X-ray examination is not sensitive to the early diagnosis of disease, the manifestation of CT and MRI of disease is characteristic and could be used to make a comprehensive evaluation of bone and soft tissue lesions of disease. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.12.021DOI Listing
December 2019

Results of Simple Conservative Treatment of Midfoot Charcot Arthropathy.

Clin Orthop Surg 2019 Dec 12;11(4):459-465. Epub 2019 Nov 12.

Department of Orthopedic and Traumatology, Foot and Ankle, Musculoskeletal Clinic, Fatmawati General Hospital, Jakarta, Indonesia.

Background: Traditionally, conservative management with an offloading orthosis, such as total contact cast (TCC), has been the standard of care for midfoot Charcot arthropathy. Considering complications of TCC and surgery, we treated midfoot Charcot arthropathy without TCC in our patients. The purpose of this study was to report clinical and radiological outcomes of conservative management of midfoot Charcot arthropathy. Read More

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http://dx.doi.org/10.4055/cios.2019.11.4.459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867926PMC
December 2019

ACR Appropriateness Criteria® Suspected Osteomyelitis of the Foot in Patients With Diabetes Mellitus.

J Am Coll Radiol 2019 Nov;16(11S):S440-S450

Specialty Chair, Mayo Clinic, Jacksonville, Florida.

Diabetes-related foot complications such as soft-tissue infection, osteomyelitis, and neuropathic osteoarthropathy account for up to 20% of all diabetic-related North American hospital admissions. Radiography of the foot is usually appropriate as the initial screening examination in diabetic patients with suspected osteomyelitis of the foot. For follow-up examination, MRI of the foot with or without contrast enhancement demonstrates excellent soft-tissue contrast and sensitivity to marrow abnormalities with high-resolution detail in multiple anatomic planes and is usually appropriate when osteomyelitis or early neuropathic arthropathy is suspected. Read More

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http://dx.doi.org/10.1016/j.jacr.2019.05.027DOI Listing
November 2019
1 Read

Neuropathic Arthropathy of the Shoulder: A Systematic Review of Classifications and Treatments.

JBJS Rev 2019 10;7(10):e1

University of Central Florida College of Medicine, Orlando, Florida.

Background: Neuropathic arthropathy of the shoulder is a chronic progressive process characterized by joint destruction in the presence of a neurosensory deficit. Causes include syringomyelia, syphilis, diabetes, chronic alcoholism, and leprosy, with syringomyelia accounting for the vast majority of upper-extremity Charcot joints. Early presentation of this rare condition includes nonspecific symptoms such as swelling, erythema, sensory symptoms, and decreased functionality, making diagnosis challenging. Read More

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http://dx.doi.org/10.2106/JBJS.RVW.18.00155DOI Listing
October 2019

Plantar Approach for Midfoot Wedge Resection to Reconstruct the Rocker Bottom Foot.

J Foot Ankle Surg 2019 Sep;58(5):1030-1035

Assistant Professor, Department of Orthopaedic 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.

Chronic deformity of the foot can lead to ulceration, infection, and amputation. Midfoot wedge osteotomy for deformity correction has been described in the literature; however, most reports are case review or small series. Wedge osteotomy can be performed from a medial or plantar approach, but there are limited data on outcomes regarding these relatively uncommon procedures. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.01.004DOI Listing
September 2019
4 Reads

Charcot Neuroarthropathy Advances: Understanding Pathogenesis and Medical and Surgical Management.

Clin Podiatr Med Surg 2019 Oct;36(4):663-684

Podiatry, Mercy Health Regional Medical Center, 3700 Kolbe Road, Lorain, OH 44053, USA.

Understanding new theories of the epidemiology of Charcot neuroarthropathy is practice changing. Treatment of Charcot neuroarthropathy is evolving from a passive approach to one that sees the urgency of proactive, early recognition, thereby avoiding the cascading events that lead to the complex, limb-threatening deformities. Preventive medicine is the most efficient at avoiding severe deformity, with prolonged offloading and immobilization as the current mainstay of treatment. Read More

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http://dx.doi.org/10.1016/j.cpm.2019.07.002DOI Listing
October 2019

Clinical features, radiological characteristics and offloading modalities in stage 0 Acute Charcot's neuroarthropathy - A single centre experience from South India.

Diabetes Metab Syndr 2019 Mar - Apr;13(2):1081-1085. Epub 2019 Jan 22.

Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, 632 004, India.

Aims: Stage 0 Acute Charcot's Neuroarthropathy (ACN)in Type 2 Diabetes patients is a challenging diagnosis with subtle clinical features and normal appearing plain radiographs of the affected foot. Delay in diagnosis can lead to progression of disease and irreversible deformities. There is a paucity of data on Stage 0 ACN from India. Read More

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http://dx.doi.org/10.1016/j.dsx.2019.01.008DOI Listing
December 2019
1 Read

What Is the Best Method to Differentiate Acute Charcot Foot From Acute Infection?

Foot Ankle Int 2019 Jul;40(1_suppl):39S-42S

3 Rothman Orthopaedic Institute, Philadelphia, PA, USA.

Recommendation: Differentiation between acute Charcot neuroarthropathy (CN) and acute infection/osteomyelitis is complex and requires multiple (>1) diagnostic criteria. These criteria include an emphasis on the presence of neuropathy, history, and physical examination. The absence of skin wounds and resolution of swelling/erythema with elevation makes the likelihood of infection very low. Read More

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http://dx.doi.org/10.1177/1071100719859892DOI Listing
July 2019
2 Reads

Very early Charcot spinal arthropathy associated with forward bending after spinal cord injury: a case report.

Spinal Cord Ser Cases 2019 14;5:19. Epub 2019 Feb 14.

Grady Health System, Emory Department of Neurosurgery, Grady Memorial Hospital, 80 Jesse Hill Jr. Dr. SE, Atlanta, GA, 30303, USA.

Introduction: Charcot spinal arthropathy (CSA) is an uncommon clinical entity following spinal cord injury (SCI). It is characterized by progressive cartilaginous and bony destruction and is felt to be due to loss of proprioceptive and nociceptive feedback from the spine. CSA is typically diagnosed many years following SCI and has the potential to lead to progressive neurologic decline if left untreated. Read More

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http://dx.doi.org/10.1038/s41394-019-0162-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461858PMC
April 2020
4 Reads

Early Foot Structural Changes After Lateral Column Exostectomy in Patients With Charcot Foot.

Int J Low Extrem Wounds 2019 Jun 21;18(2):129-134. Epub 2019 May 21.

1 Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.

Although exostectomy for chronic midfoot plantar ulcers in Charcot foot is apparently effective, with healing rates of nearly 75%, a subset of patients develop recurrent ulceration and show an unstable foot position, especially after undergoing exostectomy confined to the lateral column. The reasons for this failure have not been investigated. The main objective of this study was to evaluate the early changes in radiographic alignment after an exostectomy in patients with Charcot neuropathic osteoarthropathy (rocker bottom) and plantar ulcer located in the lateral column. Read More

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http://dx.doi.org/10.1177/1534734619848553DOI Listing
June 2019
14 Reads

Optimizing Results in Diabetic Charcot Reconstruction.

Clin Podiatr Med Surg 2019 Jul 11;36(3):469-481. Epub 2019 Apr 11.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, USA.

Reconstruction of the diabetic Charcot foot can be a challenge even for the most experienced foot and ankle surgeon. The first portion of this article discusses the preoperative evaluation with an emphasis on factors that can be modified before surgical reconstruction to help optimize surgical results. The second portion of the article focuses on intraoperative methods and techniques to help improve postoperative outcomes. Read More

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http://dx.doi.org/10.1016/j.cpm.2019.02.010DOI Listing
July 2019
18 Reads

Charcot Neuroarthropathy: From the Laboratory to the Bedside.

Curr Diabetes Rev 2019 ;16(1):62-72

Diabetes Care Unit, Institute of Endocrinology, Catholic University of Sacred Heart, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Background: The diabetic Charcot foot syndrome is a serious and potentially limbthreatening lower-extremity complication of diabetes.

Introduction: The present review provides a concise account of the advances made over the last twentyfive years in understanding the pathogenesis and management of Charcot neuroarthropathy (CN).

Methods: In this study, the widely known pathogenetic mechanisms underpinning CN are brought into focus, particularly the role of RANKL/RANK/OPG system and advanced glycation end production in the pathogenesis of CN. Read More

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http://www.eurekaselect.com/171943/article
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http://dx.doi.org/10.2174/1573399815666190502121945DOI Listing
February 2020
14 Reads

Destructive arthropathy of the shoulder complicating a cervical ependymoma.

Authors:
Zeineb Alaya

Joint Bone Spine 2019 Oct 16;86(5):642. Epub 2019 Mar 16.

Service de médecine interne, hôpital universitaire Mohamed-Tahar-Maamouri de Nabeul, 8000 Nabeul, Tunisia. Electronic address:

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http://dx.doi.org/10.1016/j.jbspin.2019.03.002DOI Listing
October 2019
5 Reads

Neuropathic arthropathy of the shoulder joint caused by syringomyelia: report of a rare case.

BMJ Case Rep 2019 Mar 7;12(3). Epub 2019 Mar 7.

Department of Radiology, Dr DY Patil Medical College and Hospital, DY Patil Vidyapeeth, Pimpri, Maharashtra, India.

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http://dx.doi.org/10.1136/bcr-2019-229494DOI Listing
March 2019
5 Reads

Neuropathic arthropathy of the shoulder joint secondary to a syringomyelia.

BMJ Case Rep 2018 Dec 3;11(1). Epub 2018 Dec 3.

Department of Orthopaedic Surgery, Box Hill Hospital, Eastern Health, Box Hill, Victoria, Australia.

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http://www.bmj.com/lookup/doi/10.1136/bcr-2018-228228
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http://dx.doi.org/10.1136/bcr-2018-228228DOI Listing
December 2018
9 Reads

Corneal Subbasal Nerve Plexus Changes in Severe Diabetic Charcot Foot Deformity: A Pilot Study in Search for a DNOAP Biomarker.

J Diabetes Res 2018 4;2018:5910639. Epub 2018 Nov 4.

Department of Ophthalmology, Rostock University Medical Center, Doberaner Straße 140, 18057 Rostock, Germany.

Introduction: Diabetic neuroosteoarthropathy (DNOAP) early symptoms are unspecific, mimicking general infectious symptoms and rendering a diagnosis challenging. Consequently, unfavourable outcomes occur frequently, with recurrent foot ulceration, infectious complications, and eventually amputation. Corneal confocal microscopy (CCM) of the subbasal nerve plexus (SNP) is used to detect early peripheral neuropathy in diabetic patients without diabetic retinopathy. Read More

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http://dx.doi.org/10.1155/2018/5910639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247393PMC
April 2019
15 Reads

Spontaneous posterior shoulder dislocation as the first symptom of a Charcot arthropathy.

Acta Orthop Belg 2018 Mar;84(1):73-77

Neuroarthropathy or Charcot disease is a destructive joint pathology. Upper limb involvement is unusual and often due to syringomyelia. We reported a patient with spontaneous posterior right shoulder dislocation. Read More

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March 2018
5 Reads

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

J Clin Neurosci 2019 Mar 13;61:281-284. 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
March 2019
14 Reads

Combined Intramedullary Nail Coated With Antibiotic-Containing Cement and Ring Fixation for Limb Salvage in the Severely Deformed, Infected, Neuroarthropathic Ankle.

Foot Ankle Int 2019 Jan 28;40(1):48-55. Epub 2018 Sep 28.

2 Legacy Institute for Surgical Education & Innovation, Legacy Research Institute, Portland, OR, USA.

Background:: The severely deformed, infected, and unstable neuroarthropathic ankle is challenging to treat. We evaluated our preliminary experience and results of combined internal and external ring fixation for a complex neuropathic population.

Methods:: We retrospectively reviewed medical records and radiographs for 8 patients with unilateral severely deformed ankle neuroarthropathy associated with infection and ulceration. Read More

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http://dx.doi.org/10.1177/1071100718800836DOI Listing
January 2019
20 Reads

Hip disease complicating myelitis.

Joint Bone Spine 2019 05 7;86(3):383. Epub 2018 Sep 7.

Service de rhumatologie, CHD Vendée, boulevard Stéphane-Moreau, 85000 La Roche-sur-Yon, France. Electronic address:

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http://dx.doi.org/10.1016/j.jbspin.2018.09.001DOI Listing
May 2019
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
37 Reads

Imaging of Progressive Neuropathic Arthropathy of the Shoulder.

Am J Phys Med Rehabil 2019 02;98(2):e15-e16

From the Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York (GH, RN); and Department of Physical Medicine Rehabilitation, Mt View Hospital, Las Vegas, Nevada (SWL).

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http://dx.doi.org/10.1097/PHM.0000000000000994DOI Listing
February 2019
5 Reads
2.012 Impact Factor

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
83 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
12 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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June 2018
3 Reads

Charcot Foot: Clinical Clues, Diagnostic Strategies, and Treatment Principles.

Am Fam Physician 2018 05;97(9):594-599

Madigan Army Medical Center, Tacoma, WA, USA.

Acute Charcot neuroarthropathy of the foot and ankle is often difficult to diagnose because of limited findings in the patient history, physical examination, imaging, and laboratory studies. Delay in treatment results in the development of rigid foot and ankle deformities, increasing the risk of ulceration, infection, and major lower extremity amputation. Acute Charcot neuroarthropathy should be suspected in any patient 40 years or older with obesity and peripheral neuropathy who presents with an acutely swollen foot following minimal or no recalled trauma and who reports minimal to no pain, particularly if radiography and laboratory markers of infection are normal. Read More

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May 2018
10 Reads

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
3 Reads

Charcot Neuroarthropathy of the Foot and Ankle.

J Bone Joint Surg Am 2018 Apr;100(8):696-711

Division of Orthopaedic Surgery, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.2106/JBJS.17.00785DOI Listing
April 2018
4 Reads

Dynamic contrast-enhanced magnetic resonance imaging for differentiating osteomyelitis from acute neuropathic arthropathy in the complicated diabetic foot.

Skeletal Radiol 2018 Oct 13;47(10):1337-1347. Epub 2018 Apr 13.

Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing, 400016, China.

Objective: The main purpose of this study was to investigate the diagnostic value of dynamic contrast-enhanced MRI (DCE-MRI) in differentiating osteomyelitis from acute neuropathic arthropathy in the diabetic foot.

Materials And Methods: This prospective study was carried out on 30 diabetic foot patients, with a mean age of 51 years. The patients all underwent clinical examinations, laboratory examinations and DCE-MRI. Read More

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http://dx.doi.org/10.1007/s00256-018-2942-4DOI Listing
October 2018
8 Reads

Challenge of handling a Charcot spinal arthropathy with a novel hybrid fibular autograft and expandable cage.

J Neurosurg Spine 2018 07 13;29(1):34-39. Epub 2018 Apr 13.

1Department of Orthopedic Surgery and.

A 26-year-old man, who was paraplegic for 6 years due to a motor vehicle accident, presented to the authors' clinic following his incapacity to withstand a sitting posture, the frequent sensation of "clicks" in his back, and a complaint of back pain while in his wheelchair. On imaging, his dorsal spine showed a complete arthrodesis of the primarily fused vertebrae. However, distal to this segment, a Charcot spinal arthropathy with subluxation of T12-L1 was evident. Read More

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https://thejns.org/view/journals/j-neurosurg-spine/29/1/arti
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http://dx.doi.org/10.3171/2017.10.SPINE17606DOI Listing
July 2018
4 Reads

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
9 Reads

Correction of ankle and hind foot deformity in Charcot neuroarthropathy using a retrograde hind foot nail-The Kings' Experience.

Foot Ankle Surg 2018 Oct 28;24(5):406-410. Epub 2017 Apr 28.

Diabetic Foot Unit, Kings College Hospital NHS Foundation Trust, United Kingdom.

Background: Corrective fusion for the unstable deformed hind foot and mid foot in Charcot Neuroarthropathy (CN) is quite challenging and is best done in tertiary centres under the supervision of multidisciplinary teams.

Methods: We present a follow up to our initial report with a series of 42 hind foot corrections in 40 patients from a tertiary level teaching hospital in the United Kingdom. The mean patient age was 59 (33-82). Read More

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http://dx.doi.org/10.1016/j.fas.2017.04.014DOI Listing
October 2018
8 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
44 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
18 Reads

Deformity and Clinical Outcomes Following Operative Correction of Charcot Foot: A New Classification With Implications for Treatment.

Foot Ankle Int 2018 03 27;39(3):265-270. Epub 2017 Nov 27.

1 Loyola University Health System, Maywood, IL, USA.

Background: The historic treatment of Charcot foot arthropathy has been immobilization during the active phase of the disease process, followed by accommodative bracing of the acquired deformity. Evidence derived from modern patient-reported outcomes investigations has convinced many surgeons to attempt operative correction of the acquired deformity with a goal of improving quality of life.

Methods: Over a 12-year period, 214 patients (9 bilateral) underwent reconstruction of the acquired deformity associated with midtarsal Charcot foot arthropathy. Read More

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http://dx.doi.org/10.1177/1071100717742371DOI Listing
March 2018
11 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
13 Reads

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
31 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
12 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
28 Reads

Angiographic assessment of atherosclerotic load at the lower extremity in patients with diabetic foot and charcot neuro-arthropathy.

J Chin Med Assoc 2018 Jun 19;81(6):565-570. Epub 2017 Oct 19.

Department of Surgery, Southern Arizona Limb Salvage Alliance (SALSA), University of Arizona College of Medicine, Tucson, Ariz, USA.

Background: The aim of this study was to investigate atherosclerotic load at the lower extremity in patients with diabetic foot and charcot neuro-arthropathy and compare them with patients with diabetic foot without charcot neuro-arthropathy.

Methods: This retrospective study consists of 78 patients with diabetic foot who had lower extremity angiography with antegrade approach. All patients were classified into two groups; neuro ischemic wounds with charcot neuro-arthropathy (30/78) and without charcot neuro-arthropathy (48/78). Read More

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http://dx.doi.org/10.1016/j.jcma.2017.09.006DOI Listing
June 2018
24 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
6 Reads

Flip or Flop: Post-Traumatic Charcot Arthropathy of the Right Hip from Acrobatics.

J Clin Rheumatol 2017 Sep;23(6):348-349

Department of Medicine, University of Tennessee Health Science Center, Memphis, TN

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http://dx.doi.org/10.1097/RHU.0000000000000574DOI Listing
September 2017
6 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
55 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
31 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
63 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
April 2018
3 Reads

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
22 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
4 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
20 Reads