Slide 1: DR JOHN EBNEZAR
FORMER VICE PRESIDENT OF THE INDIAN ORTHOPEDIC ASSOCIATION
HOLDER OF GUINNESS WORLD RECORD
PhD, MBBS, D’ORTHO, DNB (Ortho), MNAMS (Ortho), DAC, DMT, (Diploma In Sports Medicine-Australia), INOR Fellow (UK),
Chief Orthopedic And Spine Surgeon, Expert In Holistic Orthopedics
Parimala Health Care Services ® (An ISO 9001:2008 Hospital)
Bilekahalli, Bannerghatta Road, Bangalore 560076.
SICOT INDIA - ICL KERALA
COHIN, 28TH TO 29TH April 2012 Slide 18: Degeneration - of a weight bearing joint (Progressive)
Destruction – of bone
Dissolution – of bone
Deformity - end stage
Onset - insidious
Due to incomplete pain sensation and proprioception Diabetes : Diabetes Proposed mechanisms : Proposed mechanisms Neurotrauma: Neurovascular: Slide 35: "Licked candy stick" appearance, commonly seen at the distal aspect of the metatarsals
Bone resorption Slide 36: May be positive for neuropathic joint and osteomyelitis Will be negative (cold) for neuropathic joints and positive (hot) for osteomyelitis
This is a valuable study to differentiate from osteomyelitis Slide 52: Panagakos P, Ullom N, Boc SF. Salvage arthrodesis for charcot arthropathy.Clin Podiatr Med Surg. 2012 Jan;29(1):115-35. doi: 10.1016/j.cpm.2011.10.001. Epub 2011 Dec 10. Slide 59: r Slide 65: Sammarco VJ. Foot Ankle Clin. 2009 Sep;14(3):393-407.