Current Problems in Diagnostic Radiology
Volume 39, Issue 5 , Pages 187-199 , September 2010

A Review of Charcot Neuroarthropathy of the Midfoot and Hindfoot: What Every Radiologist Needs to Know

  • Corrie M. Yablon, MD

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA
    • Corresponding Author InformationReprint requests: Corrie M. Yablon, MD, Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215
    • ,
  • Naven Duggal, MD

      Affiliations

    • Department of Orthopedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Jim S. Wu, MD

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Sanjay K. Shetty, MD, MBA

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Fui Dawson, DPM

      Affiliations

    • Department of Podiatric Medicine, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Mary G. Hochman, MD

      Affiliations

    • Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA

References 

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  2. Trepman E, Nihal A, Pinzur MS. Current topics review: Charcot neuroarthropathy of the foot and ankle. Foot Ankle Int. 2005;26:46–63
  3. Bevilacqua NJ, Rogers LC. Surgical management of Charcot midfoot deformities. Clin Podiatr Med Surg. 2008;25:81–94vii
  4. Papa J, Myerson M, Girard P. Salvage, with arthrodesis, in intractable diabetic neuropathic arthropathy of the foot and ankle. J Bone Joint Surg. 1993;75:1056–1066
  5. Charcot JM. On arthropathies of cerebral or spinal origin. Clin Orthop Relat Res. 1993;296:4–7
  6. Armstrong DG, Lavery LA. Elevated peak plantar pressures in patients who have Charcot arthropathy. J Bone Joint Surg. 1998;80:365–369
  7. Smith DG, Barnes BC, Sands AK, et al. Prevalence of radiographic foot abnormalities in patients with diabetes. Foot Ankle Int. 1997;18:342–346
  8. Pinzur MS. Current concepts review: Charcot arthropathy of the foot and ankle. Foot Ankle Int. 2007;28:952–959
  9. Edmonds ME, Roberts VC, Watkins PJ. Blood flow in the diabetic neuropathic foot. Diabetologia. 1982;22:9–15
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  12. Simon SR, Tejwani SG, Wilson DL, et al. Arthrodesis as an early alternative to nonoperative management of Charcot arthropathy of the diabetic foot. J Bone Joint Surg. 2000;82-A:939–950
  13. Lesko P, Maurer RC. Talonavicular dislocations and midfoot arthropathy in neuropathic diabetic feet (Natural course and principles of treatment). Clin Orthop Relat Res. 1989;240:226–231
  14. Jones EA, Manaster BJ, May DA, et al. Neuropathic osteoarthropathy: Diagnostic dilemmas and differential diagnosis. Radiographics. 2000;20:S279–S293
  15. Brodsky JW. Evaluation of the diabetic foot. Instr Course Lect. 1999;48:289–303
  16. Schon LC, Weinfeld SB, Horton GA, et al. Radiographic and clinical classification of acquired midtarsus deformities. Foot Ankle Int. 1998;19:394–404
  17. Manaster BJ, May DA, Disler DG. Musculoskeletal Imaging. Philadelphia, PA: Mosby; 2007;
  18. Schon LC, Easley ME, Weinfeld SB. Charcot neuroarthropathy of the foot and ankle. Clin Orthop Relat Res. 1998;349:116–131
  19. Pinzur MS, Shields N, Trepman E, et al. Current practice patterns in the treatment of Charcot foot. Foot Ankle Int. 2000;21:916–920
  20. Farber DC, Juliano PJ, Cavanagh PR, et al. Single stage correction with external fixation of the ulcerated foot in individuals with Charcot neuroarthropathy. Foot Ankle Int. 2002;23:130–134
  21. Sayner LR, Rosenblum BI. External fixation for Charcot foot reconstruction. Curr Surg. 2005;62:618–623
  22. Johnson JE. Surgical treatment for neuropathic arthropathy of the foot and ankle. Instr Course Lect. 1999;48:269–277
  23. Brodsky JW, Rouse AM. Exostectomy for symptomatic bony prominences in diabetic Charcot feet. Clin Orthop Relat Res. 1993;296:21–26
  24. Burns PR, Wukich DK. Surgical reconstruction of the Charcot rearfoot and ankle. Clin Podiatr Med Surg. 2008;25:95–120vii-viii
  25. Dalla PL, Volpe A, Varotto D, et al. Use of a retrograde nail for ankle arthrodesis in Charcot neuroarthropathy: A limb salvage procedure. Foot Ankle Int. 2007;28:967–970
  26. Myerson MS, Henderson MR, Saxby T, et al. Management of midfoot diabetic neuroarthropathy. Foot Ankle Int. 1994;15:233–241
  27. Caravaggi C, Cimmino M, Caruso S, et al. Intramedullary compressive nail fixation for the treatment of severe Charcot deformity of the ankle and rear foot. J Foot Ankle Surg. 2006;45:20–24

PII: S0363-0188(09)00052-8

doi: 10.1067/j.cpradiol.2009.06.001

Current Problems in Diagnostic Radiology
Volume 39, Issue 5 , Pages 187-199 , September 2010

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