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
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.