Charcots osteoarthropathy

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This is an acute osteoarthropathy, with bone and joint destruction, that occurs in the neuropathic foot. Rarely, in diabetes, it can also affect the knee. Patients who develop Charcot's osteoarthropathy usually have evidence of a peripheral neuropathy, autonomic neuropathy and a good blood supply to the lower limb. Patients may have symptoms of autonomic neuropathy such as gastro-paresis, diabetic diarrhoea, gustatory sweating or postural

Fig. 3.14 (a) Spiral fracture of the tibia, (b) Charcot changes at the ankle joint following spiral fracture of the tibia.

hypotension. Diabetic patients with renal transplants have an increased risk of Charcot's osteoarthropathy.

Charcot's osteoarthropathy can be divided into three phases:

• Bony destruction/deformity

• Radiological consolidation and stabilization.

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Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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