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Neuro-osteoarthropathy of the foot-radiologist: friend or foe?
Semin Musculoskelet Radiol. 2010 Sep; 14(3):365-76.SM

Abstract

Charcot neuro-osteoarthropathy is a significant problem with a rapid devastating nature. If not recognized it may lead to progressive foot deformity, ulceration or osteomyelitis, or eventually to amputation. The diagnosis is challenging, and imaging plays a pivotal role. Rapid and accurate diagnosis and early intervention is important to prevent progressive and destructive Charcot deformity of the foot. The imaging workup of the warm swollen Charcot foot is presented. The advantages and disadvantages of different imaging modalities are discussed. This review provides the consulting radiologists with tools to cautiously differentiate Charcot's neuro-osteoarthropathy from osteomyelitis. It is crucial to look beyond radiological features and integrate the location of pathology and presence of ulcer in the reading process. Because imaging plays a pivotal role in arriving at the definitive diagnosis and adequate treatment, the radiologist "makes the difference"-can be a friend or a foe.

Authors+Show Affiliations

Department of Radiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. i.g.schoots@amc.uva.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20539961

Citation

Schoots, Ivo G., et al. "Neuro-osteoarthropathy of the Foot-radiologist: Friend or Foe?" Seminars in Musculoskeletal Radiology, vol. 14, no. 3, 2010, pp. 365-76.
Schoots IG, Slim FJ, Busch-Westbroek TE, et al. Neuro-osteoarthropathy of the foot-radiologist: friend or foe? Semin Musculoskelet Radiol. 2010;14(3):365-76.
Schoots, I. G., Slim, F. J., Busch-Westbroek, T. E., & Maas, M. (2010). Neuro-osteoarthropathy of the foot-radiologist: friend or foe? Seminars in Musculoskeletal Radiology, 14(3), 365-76. https://doi.org/10.1055/s-0030-1254525
Schoots IG, et al. Neuro-osteoarthropathy of the Foot-radiologist: Friend or Foe. Semin Musculoskelet Radiol. 2010;14(3):365-76. PubMed PMID: 20539961.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neuro-osteoarthropathy of the foot-radiologist: friend or foe? AU - Schoots,Ivo G, AU - Slim,Frederik J, AU - Busch-Westbroek,Tessa E, AU - Maas,Mario, Y1 - 2010/06/10/ PY - 2010/6/12/entrez PY - 2010/6/12/pubmed PY - 2010/10/12/medline SP - 365 EP - 76 JF - Seminars in musculoskeletal radiology JO - Semin Musculoskelet Radiol VL - 14 IS - 3 N2 - Charcot neuro-osteoarthropathy is a significant problem with a rapid devastating nature. If not recognized it may lead to progressive foot deformity, ulceration or osteomyelitis, or eventually to amputation. The diagnosis is challenging, and imaging plays a pivotal role. Rapid and accurate diagnosis and early intervention is important to prevent progressive and destructive Charcot deformity of the foot. The imaging workup of the warm swollen Charcot foot is presented. The advantages and disadvantages of different imaging modalities are discussed. This review provides the consulting radiologists with tools to cautiously differentiate Charcot's neuro-osteoarthropathy from osteomyelitis. It is crucial to look beyond radiological features and integrate the location of pathology and presence of ulcer in the reading process. Because imaging plays a pivotal role in arriving at the definitive diagnosis and adequate treatment, the radiologist "makes the difference"-can be a friend or a foe. SN - 1098-898X UR - https://www.unboundmedicine.com/medline/citation/20539961/Neuro_osteoarthropathy_of_the_foot_radiologist:_friend_or_foe DB - PRIME DP - Unbound Medicine ER -