Charcot Neuroarthropy - Edubirdie

University:
The University Of Western Ontario
Course:
Biology 2290F | Scientific Method in Biology
Academic year:

2022
Views:

263

Pages:

2
Author:

Kyuwon J.

Charcot Neuroarthropy ● Progressive destructive joint disorder ● Extremity on lost protective sensation ● Leads to acute bone fragmentations Category Key Points Most Common Cause Diabetic Peripheral Neuropathy (leading to "Charcot Foot"). Other Causes Tabes Dorsalis (Syphilis), Syringomyelia, Leprosy, Chronic Alcoholism. Neuro-Traumatic Theory Loss of Pain Sensation + Repetitive Micro-trauma Neurovascular Theory Autonomic Neuropathy. ● Acute phase ○ Red hot swollen foot ○ Often mistaken as cellulitis or DVT ● Clinical signs ○ Calor ■ Affected joins are significantly warmer then the other side ○ Edema and Erthema ○ Pain ● Chronic deformity ○ Rocker Bottom Foot ■ Collapse in mid foot arch ■ Will create convex soles Eichernholt Radiographic staging ● Prodromal ○ 0 ○ Acute inflammation ○ Normal X-ray ■ Diagnosis is clinical ○ Red,hot swollen foot ● Development/fragmentations ○ 1 ○ Acute destruction ○ Bone fragmentation ○ Joint subluxation/dislocations ○ Bondy debris ○ Swelling erythema ● Coalescence ○ Remodeling ○ Absorption of debris ○ Permanent deformity ○ Inflammation will start to decrease ● Consolidation ○ Remodeling ○ Consolidates to fragments ○ Permanent structural deformity ○ Resolution of inflammatory ○ Foot is now structurally stable but is deformed

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