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Doppler spectrum analysis: a potentially useful diagnostic tool for planning the treatment of patients with Charcot arthropathy of the foot?
J Bone Joint Surg Br. 2012 Mar; 94(3):344-7.JB

Abstract

It is difficult to determine the safe timing of weight-bearing or reconstructive surgery in patients with Charcot arthropathy of the foot and ankle. In this study the Doppler spectrum of the first dorsal metatarsal artery was used to monitor the activity of the disease activity and served as a guideline for management. A total of 15 patients (seven men and eight women) with acute diabetic Charcot arthropathy of the foot and ankle were immobilised in a non-weight-bearing cast. They were followed at two-week intervals and bilateral Doppler spectra of the first dorsal metatarsal arteries were obtained using a 10 MHz linear ultrasound probe. The patients were allowed to start weight-bearing or undergo surgery after the Doppler spectrum had returned to normal pattern. The Doppler spectra in the unaffected limbs were triphasic in pattern, whereas those in limbs with active Charcot arthropathy showed monophasic forward flow. They returned to normal after a mean of 13.6 weeks (6 to 20) of immobilisation. Three patients underwent pan-talar arthrodesis to correct gross instability and deformity. Doppler spectrum analysis of the foot may reflect the activity of the disease in patients with Charcot arthropathy, and may be used as a guide to begin weight-bearing or undergo reconstructive surgery.

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Authors+Show Affiliations

Wu T
National Taiwan University Hospital Hsin-Chu Branch, Department of Orthopaedics, No.25, Ln. 442, Sec. 1, Jingguo Road, North Dist., Hsinchu City 300, Taiwan.
Chen PY
No affiliation info available
Chen CH
No affiliation info available
Wang CL
No affiliation info available

MeSH

Acute DiseaseAdultAgedArteriesArthrodesisArthropathy, NeurogenicCasts, SurgicalDiabetic FootFemaleFootFoot JointsHumansImmobilizationMaleMiddle AgedRadiographyRegional Blood FlowUltrasonographyWeight-Bearing

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22371541

Citation

Wu, T, et al. "Doppler Spectrum Analysis: a Potentially Useful Diagnostic Tool for Planning the Treatment of Patients With Charcot Arthropathy of the Foot?" The Journal of Bone and Joint Surgery. British Volume, vol. 94, no. 3, 2012, pp. 344-7.
Wu T, Chen PY, Chen CH, et al. Doppler spectrum analysis: a potentially useful diagnostic tool for planning the treatment of patients with Charcot arthropathy of the foot? J Bone Joint Surg Br. 2012;94(3):344-7.
Wu, T., Chen, P. Y., Chen, C. H., & Wang, C. L. (2012). Doppler spectrum analysis: a potentially useful diagnostic tool for planning the treatment of patients with Charcot arthropathy of the foot? The Journal of Bone and Joint Surgery. British Volume, 94(3), 344-7. https://doi.org/10.1302/0301-620X.94B3.27122
Wu T, et al. Doppler Spectrum Analysis: a Potentially Useful Diagnostic Tool for Planning the Treatment of Patients With Charcot Arthropathy of the Foot. J Bone Joint Surg Br. 2012;94(3):344-7. PubMed PMID: 22371541.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Doppler spectrum analysis: a potentially useful diagnostic tool for planning the treatment of patients with Charcot arthropathy of the foot? AU - Wu,T, AU - Chen,P-Y, AU - Chen,C-H, AU - Wang,C-L, PY - 2012/2/29/entrez PY - 2012/3/1/pubmed PY - 2012/5/11/medline SP - 344 EP - 7 JF - The Journal of bone and joint surgery. British volume JO - J Bone Joint Surg Br VL - 94 IS - 3 N2 - It is difficult to determine the safe timing of weight-bearing or reconstructive surgery in patients with Charcot arthropathy of the foot and ankle. In this study the Doppler spectrum of the first dorsal metatarsal artery was used to monitor the activity of the disease activity and served as a guideline for management. A total of 15 patients (seven men and eight women) with acute diabetic Charcot arthropathy of the foot and ankle were immobilised in a non-weight-bearing cast. They were followed at two-week intervals and bilateral Doppler spectra of the first dorsal metatarsal arteries were obtained using a 10 MHz linear ultrasound probe. The patients were allowed to start weight-bearing or undergo surgery after the Doppler spectrum had returned to normal pattern. The Doppler spectra in the unaffected limbs were triphasic in pattern, whereas those in limbs with active Charcot arthropathy showed monophasic forward flow. They returned to normal after a mean of 13.6 weeks (6 to 20) of immobilisation. Three patients underwent pan-talar arthrodesis to correct gross instability and deformity. Doppler spectrum analysis of the foot may reflect the activity of the disease in patients with Charcot arthropathy, and may be used as a guide to begin weight-bearing or undergo reconstructive surgery. SN - 2044-5377 UR - https://www.unboundmedicine.com/medline/citation/22371541/Doppler_spectrum_analysis:_a_potentially_useful_diagnostic_tool_for_planning_the_treatment_of_patients_with_Charcot_arthropathy_of_the_foot L2 - https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.94B3.27122 DB - PRIME DP - Unbound Medicine ER -