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Unbound Medicine.
(Arthropathy neurogenic)
1,877 results
  • Case of bilateral hip joint Charcot arthropathy in a paediatric patient. [Case Reports]
    BMJ Case Rep. 2023 Jan 02; 16(1)Hegde A, Kamath SH, … Shetty CB
  • An adolescent girl came with swelling of both thighs with difficulty in walking for a few months. Based on clinical, and radiological evaluation and nerve conduction studies, she was diagnosed to be having bilateral hips Charcot's arthropathy due to hereditary sensory autonomic neuropathy type 4. Other common causes of Charcot arthropathy were ruled out. The patient was conservatively managed and…
  • The Modern Treatment of Charcot Foot Arthropathy. [Journal Article]
    J Am Acad Orthop Surg. 2023 Jan 15; 31(2):71-79.Pinzur MS
  • The National Institute of Health now estimates that there are well over 37 million persons with diabetes in the United States alone, a number well over 11 per cent of our population. The associated multiple organ system disease is responsible for more than 327 billion dollars in direct and indirect medical costs and more than 140,000 lower extremity amputations yearly in the United States. Becaus…
  • Neuropathic arthropathy of the wrist revealing a syringomyelia. [Case Reports]
    BMJ Case Rep. 2022 Nov 25; 15(11)Masmoudi K, Feki A, … Baklouti S
  • Syringomyelia is uncommonly revealed by a neuropathic arthropathy (Charcot joint) and characterised by its slow progression with late neurological symptoms. In this particular field, neuropathic arthropathies mainly affect the shoulders and the elbows.We report a new case of neuropathic arthropathy of the wrist caused by syringomyelia, because of the rarity of this condition as well as its uncomm…
  • Arthrodesis in the Deformed Charcot Foot. [Review]
    Foot Ankle Clin. 2022 Dec; 27(4):835-846.Rosemberg DL, Sposeto RB, Godoy-Santos AL
  • Charcot neuroarthropathy (CN) is a systemic disease that causes fractures, dislocations, and deformities involving the foot and ankle, resulting in substantial risk of ulceration, infection, and function loss. Early recognition and prevention of collapsing foot and ankle are still the best options for the management of patients with diabetic CN. For a successful arthrodesis procedure, the princip…
  • Identification of Charcot Foot: A Case Report. [Case Reports]
    Nephrol Nurs J. 2022 Sep-Oct; 49(5):419-425.Phillips A, Rice L
  • Neuropathy is a painful and potentially devastating complication of diabetes mellitus affecting many patients. Neuropathy can lead to foot ulcers, infections, and subsequent amputations. Nerve damage from peripheral neuropathy may lead to Charcot neuropathic osteoarthropathy, commonly known as Charcot foot. Flesh wounds and weakened bones causing microfractures of the foot and ankle may lead to f…
  • Acute development of spinal lumbar synovial facet cyst within 1 week after lumbar decompression: illustrative case. [Journal Article]
    J Neurosurg Case Lessons. 2022 Apr 04; 3(14)Sarmiento JM, Fourman MS, … Farmer JC
  • CONCLUSIONS: The literature reports postoperative spinal instability in up to one-third of patients with lumbar spinal stenosis and stable degenerative spondylolisthesis who undergo decompressive laminectomy. Close radiographic monitoring and early advanced imaging may be prudent in this patient population if they develop new postoperative neurological symptoms and show radiographic predictors of instability on preoperative imaging. Posterolateral spinal fusion with instrumentation should be considered in addition to lumbar decompression in this select group of patients who demonstrate radiographic predictors of delayed spinal instability if they are medically capable of tolerating a spinal fusion procedure.
  • Musculoskeletal complications in patients with diabetes mellitus. [Review]
    Korean J Intern Med. 2022 11; 37(6):1099-1110.Choi JH, Kim HR, Song KH
  • Musculoskeletal conditions are common in patients with diabetes. Several musculoskeletal disorders are viewed as chronic complications of diabetes because epidemiological studies have revealed high correlations between such complications and diabetes, but the pathophysiological links with diabetes remains unclear. Genetic predispositions, shared risk factors, microvascular impairments, progressiv…
  • Plate Fixation in Midfoot and Ankle Charcot Neuroarthropathy. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):675-693.Spingola HD, Martucci J, DiDomenico LA
  • Surgical reconstruction of Charcot arthropathy in the foot and ankle is extremely difficult. The fundamentals of reconstruction are necessary to provide adequate outcome. Removing and resecting the diseased bone is needed along with good anatomic alignment and rigid fixation. This reconstructive surgery is not only difficult from medical management point of view but also involves patient complian…
  • Circular Fixation in Charcot. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):643-658.Hutchinson B
  • Static circular fixation is a valuable tool for patients with Charcot foot and ankle deformities. The versatility of circular fixators allows for dynamic adjustments over time and can allow for off-loading of flaps or ulcers. The circular fixator can be used as a primary fixation device in cases of osteomyelitis or to facilitate lengthening when a segmental bone defect exists such as loss of the …
  • The Use of Hexapod External Fixation in the Management of Charcot Foot and Ankle Deformities. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):629-642.LaPorta GA, Begum M, … D'Andelet A
  • Charcot neuroarthropathy (CN) and its sequela is a disabling pathology in the foot and ankle. The 2-stage computer hexapod-assisted technique is an effective tool to address midfoot Charcot and ankle-hindfoot deformities to restore function and decrease the risk of amputation secondary to ulceration and infection. Although this is not the only technique available, it is an excellent option in cas…
  • Beaming the Charcot Foot. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):605-627.Grant W, Grant-McDonald L
  • The Charcot diabetic foot presents unique challenges to the podiatric surgeon in the quest to salvage the limb. This disorder is an intersection of prototypical metabolic diseases and neurodegenerative disorder. Furthermore, it can be considered a disease of bone and ligaments that is often complicated by peripheral vascular disease and serious deep infection. Presently, simplistic ablative surgi…
  • Surgical Optimization for Charcot Patients. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):595-604.Millonig KJ, Gerber R
  • Reconstruction of the Charcot foot and ankle demonstrates significant challenges to the foot and ankle surgeon. At present, there is limited clear consensus on the best approach for preoperative optimization. The primary aim of Charcot reconstructions is to limit the risk of ulceration by providing a stable plantigrade foot allowing ambulation. The focus of this article is the discussion of modif…
  • Conservative Management of Charcot Neuroarthropathy. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):585-594.Schweitzer M, Rockhill S
  • Charcot can be a difficult clinical entity to diagnose in the acute phase, and clinicians should have a high clinical suspicion in neuropathic patients who present with erythema, edema, and warmth of the foot or ankle. Immobilization and nonweight-bearing should be immediately initiated when the diagnosis of Charcot has been made and patients should remain nonweight-bearing until the affected bon…
  • Nondiabetic Charcot Neuroarthropathy: Evaluation and Treatment. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):571-584.Wagler EC
  • There are many similarities between nondiabetic and diabetic Charcot neuroarthropathy (CN) but many of the underlying causes causing nondiabetic neuropathy and CN are associated with poor bone quality. Patient workup for nondiabetic CN should include the underlying cause of the neuropathy and optimization of bony healing, such as vitamin D supplementation and bisphosphonate or calcitonin administ…
  • Management of the Charcot Foot and Ankle: Nonreconstructive Surgery. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):559-570.Chen S, Miller JD, Steinberg JS
  • Diabetic neuroarthropathy is a complication of diabetes mellitus that results in instability of the foot, structural deformity, and soft-tissue breakdown. Commonly, midfoot collapse of the medial, lateral, or both longitudinal arches may result in increased plantar pressures and subsequent midfoot ulceration. Many of these wounds can be successfully managed with local wound care and off-loading; …
  • Bone Metabolism in Charcot. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):543-557.Grant-McDonald L, Grant W
  • Bone metabolism in the healthy, young adult is identified as a relatively stable process. Normal bone turnover is a dynamic state, which is conferred through intracellular signaling and complex cellular pathways. It has been well described in the literature that Charcot neuro-osteoarthropathy is a disease state, which is marked by intense bone turnover leading to structural collapse and dissoluti…
  • Diabetes Mellitus: An Overview in Relationship to Charcot Neuroarthropathy. [Review]
    Clin Podiatr Med Surg. 2022 Oct; 39(4):535-542.Hjelm LR
  • Diabetes mellitus with the lack of glycemic control increases risks for developing comorbidities affecting organ systems responsible for critical function. The development of diabetic neuropathy predisposes patients to the onset of Charcot neuroarthropathy (CN). There is significant complexity with treatment of diabetic-induced CN, which can have an often delayed or missed diagnosis. Supervision …
  • Managing Acute Fore- and Midfoot Fractures in Patients with Diabetes. [Review]
    Foot Ankle Clin. 2022 Sep; 27(3):617-637.Hong CC, Rammelt S
  • Few is investigated about the management of acute fore- and midfoot injuries in diabetics. With well controlled diabetes, indications and techniques are similar to non-diabetics. With poorly controlled diabetes, medical optimization should be exercised. Stable internal fixation in case of surgical treatment and prolonged offloading independent of the choice of treatment are advised. With manifest…
  • Nonoperative Treatment of Charcot Neuro-osteoarthropathy. [Review]
    Foot Ankle Clin. 2022 Sep; 27(3):595-616.Waibel FWA, Böni T
  • Conservative treatment of Charcot neuro-osteoarthropathy (CN) aims to retain a stable, plantigrade, and ulcer-free foot, or to prevent progression of an already existing deformity. CN is treated with offloading in a total contact cast as long as CN activity is present. Transition to inactive CN is monitored by the resolution of clinical activity signs and by resolution of bony edema in MRI. Fitti…
  • Etiology, Epidemiology, and Outcomes of Managing Charcot Arthropathy. [Review]
    Foot Ankle Clin. 2022 Sep; 27(3):583-594.Hester T, Kavarthapu V
  • Surgical intervention for Charcot arthropathy is becoming more common; this is driven by an increased prevalence, better understanding of the cause, identifying patient risk factors that influence outcomes, and how to best optimize these. This article aims to summarize the cause of Charcot, look at the factors that influence the outcomes, and the financial cost of managing what is a very challeng…
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