Charcot Neuropathy Flashcards

1
Q

What are risk factors for Charcot Neuropathy?

A

1) Diabetic neuropatyh
2) Alcoholism
3) Leprosy
4) Syringomyelia
5) tabes dorsalis
6) myelomenigocele

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2
Q

On physical exam what can distinguish Charcot from infection?

A

Elevation of the extremity will decrease the erythema in Charcot but not infection

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3
Q

What do you see on a bone scan in Charcot?

A

Will be hot on technitium along with infection

Indium WBC will be cold in Charcot and hot in infection

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4
Q

What are non-operative treatments for Charcot foot?

A

1) Shoe modification; double rocker sole
2) Total contact casting; changed every 2-4 weeks for 3-4 months
3) CROW shoe

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5
Q

What is the complication rate for arthrodesis in Charcot foot?

A

up to 70%

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