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Charcot (Neuropathic)
B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Charcot = neuropathic joint
          • Definitions

            • Severely and rapidly destructive joint process, with etiology often suggested by location

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Peters EJ et al: Diagnosis and management of infection in the diabetic foot. Med Clin North Am. 97(5):911-46, 2013
                                    2. Zampa V et al: Role of dynamic MRI in the follow-up of acute Charcot foot in patients with diabetes mellitus. Skeletal Radiol. 40(8):991-9, 2011
                                    3. Johnson PW et al: Diagnostic utility of T1-weighted MRI characteristics in evaluation of osteomyelitis of the foot. AJR Am J Roentgenol. 192(1):96-100, 2009
                                    4. Donovan A et al: Current concepts in imaging diabetic pedal osteomyelitis. Radiol Clin North Am. 46(6):1105-24, vii, 2008
                                    5. Ahmadi ME et al: Neuropathic arthropathy of the foot with and without superimposed osteomyelitis: MR imaging characteristics. Radiology. 238(2):622-31, 2006
                                    6. Rose DM et al: Charcot spinal arthropathy in a paraplegic weight lifter: case report. Spine. 31(11):E339-41, 2006
                                    7. Schwarz RJ et al: Results of arthrodesis in neuropathic feet. J Bone Joint Surg Br. 88(6):747-50, 2006
                                    8. Ledermann HP et al: Differential diagnosis of pedal osteomyelitis and diabetic neuroarthropathy: MR Imaging. Semin Musculoskelet Radiol. 9(3):272-83, 2005
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Synonyms

                                              • Charcot = neuropathic joint
                                            • Definitions

                                              • Severely and rapidly destructive joint process, with etiology often suggested by location

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Peters EJ et al: Diagnosis and management of infection in the diabetic foot. Med Clin North Am. 97(5):911-46, 2013
                                                                      2. Zampa V et al: Role of dynamic MRI in the follow-up of acute Charcot foot in patients with diabetes mellitus. Skeletal Radiol. 40(8):991-9, 2011
                                                                      3. Johnson PW et al: Diagnostic utility of T1-weighted MRI characteristics in evaluation of osteomyelitis of the foot. AJR Am J Roentgenol. 192(1):96-100, 2009
                                                                      4. Donovan A et al: Current concepts in imaging diabetic pedal osteomyelitis. Radiol Clin North Am. 46(6):1105-24, vii, 2008
                                                                      5. Ahmadi ME et al: Neuropathic arthropathy of the foot with and without superimposed osteomyelitis: MR imaging characteristics. Radiology. 238(2):622-31, 2006
                                                                      6. Rose DM et al: Charcot spinal arthropathy in a paraplegic weight lifter: case report. Spine. 31(11):E339-41, 2006
                                                                      7. Schwarz RJ et al: Results of arthrodesis in neuropathic feet. J Bone Joint Surg Br. 88(6):747-50, 2006
                                                                      8. Ledermann HP et al: Differential diagnosis of pedal osteomyelitis and diabetic neuroarthropathy: MR Imaging. Semin Musculoskelet Radiol. 9(3):272-83, 2005