Charcot Joint Disease

Question 1

What is Charcot Foot?

Answer 1

Impaired pain and proprioception in foot

Loss of motor and sensory function allows micro traumas that turn into deformity after going undetected.

Question 2

Early Stages of Charcot Joint

Answer 2

Swelling, dislocation and instability of torso-metatarsal joint, subluxation. Crepitus from maligned bones grinding on each other.

Question 3

Charcot Complications

Answer 3

Calluses and ulcers

Infection may develop

Question 4

Goal of treatment

Answer 4

Distribute plantar pressures

Stabilize Joint

Question 5

Treatment

Answer 5

Surgical- osteotomy or realignment

Nonsurgical- Total contact cast or CROW boot and crutches. Stages 1 and 2. Maybe stage 0

After resolution of process- custom shoes and FOs. Usually in stage 3

Question 6

Total Contact Cast

Answer 6

Cast change every 5-7 days

Contraindications- Severe edema, thin skin, active infection.

Question 7

CROW boot

Answer 7

1. ) cast in neutral position.
2. ) correct varus or valgus deformity
3. ) rocker bottom sole and custom arch support.
4. ) used by a beneficiary that is ambulatory.
5. ) soft interface.
6. ) rigid exterior shell