EVERYTHING CHARCOT

Question 1

a slow to rapid progressive noninfectious destruction of one or more bones and or joints.

associated with?

Answer 1

Charcot’s foot

neuropathy

Question 2

presentation of Charcot’s foot?

Answer 2

hot and swollen joints w/ or w/o pain

ROM increased

plantar ulcer

neuropathy

gets worse overtime

Question 3

epidemiology?

Answer 3

decreased life expectance

prevalence 0.4-7%

diabetes

bilateral in 1/4 of patients

Question 4

what are the early theories of formation?

*what is the more accepted one?

Answer 4

neurotraumatic

neurovascular

*modern theory

Question 5

repetitive trauma to insensate foot, so lack of sensitivity

i.e. progressive fractures and dislocations

what is this theory?

Answer 5

neurotramatic theory

Question 6

autonomic nervous system issue where blood flow is increased to bone causing resorption,

what is this theory and type of neuropathy?

Answer 6

neuromuscular theory

ataxic neuropathy

Question 7

proinflammatory cytokines released leading to bone resorption via excess osteoclast activity?

Answer 7

modern theory

Question 8

what are the basic clinical findings of Charcot foot tied by the modern theory?

Answer 8

calcification of vessels
subchondral osteopenia***
Charcot osteoarthropathy

Question 9

signs always symptoms?

Answer 9

true