Charcot Neuropathic Osteoarthropathy: a Brief Review of Imaging
Abstract
Diabetic foot syndrome is a polymorphic complication of diabetes mellitus, the prevalence of it is continuously increasing. A severe form of diabetic foot syndrome is neuropathic osteoarthropathy (NOAP), described by the French neurologist Jean-Martin Charcot in the second half of the XIX century. NOAP is a manifestation of a variety of diseases - leprosy, poliomyelitis, syringomyelia, rheumatoid arthritis, heavy metal poisoning, and others, and was first described as a manifestation of tertiary syphilis. There were several attempts to classify the stages of NOAP and optimal diagnostic methods for each stage. Today, there is uncertainty in the classification of stages of NOAP, and in diagnostic algorithms for suspected NOAP Early diagnosis of NOAP is critical, since early treatment can prevent the deformation of the foot, the occurrence of ulcers, and amputation of limbs. This review considers the most relevant NOAP classifications and demonstrates pathognomonic radiographic signs of NOAP Possible radiological visualisation algorithms of NOAP are also suggested, depending on the clinical picture and the stage of treatment.
About the Authors
Vladimir Grigoryevich Aznaurov
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Evgeniy Valeryevich Kondratiev
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Pavel Igorevich Davydenko
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Vadim Sergeevich Shirokov
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
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Review
For citations:
Aznaurov V.G., Kondratiev E.V., Davydenko P.I., Shirokov V.S. Charcot Neuropathic Osteoarthropathy: a Brief Review of Imaging. Medical Visualization. 2016;(2):103-109. (In Russ.)
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