Neuropathic Joint

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Presentation Description

Neuropathic Joint is the Painful Story of a Painless Joint. This talk was delivered at SICOT-ICL Conference at Kochin on 29th April 2012.

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Presentation Transcript

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

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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:

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"Licked candy stick" appearance, commonly seen at the distal aspect of the metatarsals Diabetic osteolysis Bone resorption

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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

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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: 

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Slide 65: 

Sammarco VJ. Foot Ankle Clin. 2009 Sep;14(3):393-407.

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