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The diabetic foot: Charcot joint and osteomyelitis.
Nucl Med Commun. 2006 Sep; 27(9):745-9.NM

Abstract

Foot problems are common causes of disability in diabetic patients with as many as 25% expected to develop severe foot or leg problems during their lifetimes. Although skin ulceration is the most frequent problem, bones may also be involved in two different clinical conditions: osteomyelitis and Charcot osteoarthropathy. Osteomyelitis causes complications in up to one third of diabetic foot infections and is due to direct contamination from a soft-tissue ulcer. Osteoarthropathy Charcot foot is a chronic and progressive disease of the bone and joints. Both osteomyelitis and Charcot joint are conditions with an increased risk of lower limb amputation, both may have a successful outcome when recognized and treated in the early stages. The major diagnostic difficulty is in distinguishing bone infection (osteomyelitis) from non-infectious neuropathic bony disorders as in osteoarthropathy Charcot foot. An additional difficulty is found when a bone infection superimposes a Charcot osteopathy. This condition, which can be clinically suspected when foot ulceration appears in Charcot foot, needs to be diagnosed because it implies a different therapeutic strategy. This article aims to summarize both these two clinical conditions and give indications to make a timely and correct diagnosis.

Authors+Show Affiliations

Department of Internal Medicine, Tor Vergata University of Rome, Italy.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16894330

Citation

Giurato, Laura, and Luigi Uccioli. "The Diabetic Foot: Charcot Joint and Osteomyelitis." Nuclear Medicine Communications, vol. 27, no. 9, 2006, pp. 745-9.
Giurato L, Uccioli L. The diabetic foot: Charcot joint and osteomyelitis. Nucl Med Commun. 2006;27(9):745-9.
Giurato, L., & Uccioli, L. (2006). The diabetic foot: Charcot joint and osteomyelitis. Nuclear Medicine Communications, 27(9), 745-9.
Giurato L, Uccioli L. The Diabetic Foot: Charcot Joint and Osteomyelitis. Nucl Med Commun. 2006;27(9):745-9. PubMed PMID: 16894330.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The diabetic foot: Charcot joint and osteomyelitis. AU - Giurato,Laura, AU - Uccioli,Luigi, PY - 2006/8/9/pubmed PY - 2007/2/13/medline PY - 2006/8/9/entrez SP - 745 EP - 9 JF - Nuclear medicine communications JO - Nucl Med Commun VL - 27 IS - 9 N2 - Foot problems are common causes of disability in diabetic patients with as many as 25% expected to develop severe foot or leg problems during their lifetimes. Although skin ulceration is the most frequent problem, bones may also be involved in two different clinical conditions: osteomyelitis and Charcot osteoarthropathy. Osteomyelitis causes complications in up to one third of diabetic foot infections and is due to direct contamination from a soft-tissue ulcer. Osteoarthropathy Charcot foot is a chronic and progressive disease of the bone and joints. Both osteomyelitis and Charcot joint are conditions with an increased risk of lower limb amputation, both may have a successful outcome when recognized and treated in the early stages. The major diagnostic difficulty is in distinguishing bone infection (osteomyelitis) from non-infectious neuropathic bony disorders as in osteoarthropathy Charcot foot. An additional difficulty is found when a bone infection superimposes a Charcot osteopathy. This condition, which can be clinically suspected when foot ulceration appears in Charcot foot, needs to be diagnosed because it implies a different therapeutic strategy. This article aims to summarize both these two clinical conditions and give indications to make a timely and correct diagnosis. SN - 0143-3636 UR - https://www.unboundmedicine.com/medline/citation/16894330/The_diabetic_foot:_Charcot_joint_and_osteomyelitis_ L2 - https://doi.org/10.1097/01.mnm.0000230066.23823.cc DB - PRIME DP - Unbound Medicine ER -