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Charcot Arthropathy Versus Osteomyelitis: Evaluation and Management.

Abstract Charcot arthropathy of the foot and ankle is a severe complication of peripheral neuropathy and is most commonly seen in the developed world in association with diabetes mellitus. Correct diagnosis and differentiation from osteomyelitis of the foot and ankle are critical to guide treatment. It can exist concomitantly with osteomyelitis, typically in the setting of an advanced midfoot ulcer. Simple plain radiographs and contrasted MRI studies often yield inconclusive or confusing data. Correct use of imaging studies and a clinical algorithm can be effective tools to help make accurate and early diagnoses and guide clinical interventions for these conditions.
PMID
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Authors

Mayor MeshTerms

Arthropathy, Neurogenic

Osteomyelitis

Keywords

Charcot arthropathy

Evaluation

Foot and ankle

Management

Osteomyelitis

Journal Title the orthopedic clinics of north america
Publication Year Start




PMID- 28336046
OWN - NLM
STAT- MEDLINE
DA  - 20170324
DCOM- 20170418
LR  - 20170418
IS  - 1558-1373 (Electronic)
IS  - 0030-5898 (Linking)
VI  - 48
IP  - 2
DP  - 2017 Apr
TI  - Charcot Arthropathy Versus Osteomyelitis: Evaluation and Management.
PG  - 241-247
LID - S0030-5898(16)30167-5 [pii]
LID - 10.1016/j.ocl.2016.12.011 [doi]
AB  - Charcot arthropathy of the foot and ankle is a severe complication of peripheral 
      neuropathy and is most commonly seen in the developed world in association with
      diabetes mellitus. Correct diagnosis and differentiation from osteomyelitis of
      the foot and ankle are critical to guide treatment. It can exist concomitantly
      with osteomyelitis, typically in the setting of an advanced midfoot ulcer. Simple
      plain radiographs and contrasted MRI studies often yield inconclusive or
      confusing data. Correct use of imaging studies and a clinical algorithm can be
      effective tools to help make accurate and early diagnoses and guide clinical
      interventions for these conditions.
CI  - Copyright (c) 2016 Elsevier Inc. All rights reserved.
FAU - Womack, John
AU  - Womack J
AD  - Piedmont Orthopaedic Associates, 35 International Drive, Greenville, SC 29615,
      USA. Electronic address: [email protected]
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170201
PL  - United States
TA  - Orthop Clin North Am
JT  - The Orthopedic clinics of North America
JID - 0254463
SB  - AIM
SB  - IM
MH  - *Arthropathy, Neurogenic/diagnosis/therapy
MH  - Diagnosis, Differential
MH  - Disease Management
MH  - Humans
MH  - *Osteomyelitis/diagnosis/therapy
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Charcot arthropathy
OT  - Evaluation
OT  - Foot and ankle
OT  - Management
OT  - Osteomyelitis
EDAT- 2017/03/25 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/03/25 06:00
AID - S0030-5898(16)30167-5 [pii]
AID - 10.1016/j.ocl.2016.12.011 [doi]
PST - ppublish
SO  - Orthop Clin North Am. 2017 Apr;48(2):241-247. doi: 10.1016/j.ocl.2016.12.011.
      Epub 2017 Feb 1.

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