A review of research on Charcot neuropathic osteoarthropathy in the past decade

Published on Jun. 05, 2023Total Views: 2061 times Total Downloads: 663 times Download Mobile

Author: Xiao-Ting LIU ¹  Yu-Suo GONG ² Bao-Hua YUAN ¹ Jia-Ru GUANG ³ Yu-Quan WANG ²

Affiliation: Kang HUANG1, Tong-Ke LIU1, Fu-Ping KANG1, Chen YANG2, Xi-Yan LYU2 1. Clinical College of Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, China 2. Department of Orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730000, China 3. Sports Science and Technology Center of Ningxia Hui Autonomous Region, Yinchuan 750001, China

Keywords: Charcot neuropathic osteoarthropathy Hypalgesia Overview

DOI: 10.12173/j.issn.1004-4337.202303059

Reference: Liu XT, Gong YS, Yuan BH, Guang JR, Wang YQ, Huang K, Liu TK, Kang FP, Yang C, Lyu XY. A review of research on Charcot's joint disease in the past decade[J]. Journal of Mathematical Medicine, 2023, 36(5): 385-391. DOI:10.12173/j.issn.1004-4337.202303059[Article in Chinese]  Copied

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Abstract

Objective To investigate the stage, mechanism, imaging studies, clinical mani-festations at the onset site, and treatment direction of Charcot neuropathic osteoarthropathy (CN).

Methods The clinical data of CN were analyzed, and relevant literatures published at home and abroad from 2011 to 2022 were retrieved, and the studies were analyzed one by one to summarize their clinical manifestations, treatment methods and follow-up prognosis.

Results 302 articles were searched and 11 articles were ultimately included. CN has a complex pathogenesis and involves many foot and ankle pathologies in clinic in patients with a history of diabetes mellitus; spinal cord injury (SCI), spinal TB with multiple spinal involvement. Syphilis infection has a predilection for the knee, followed by the hip. Syringomyelia neuropathy mostly occurs in the shoulder, followed by the elbow and wrist joints.

Conclusion The principle of management of patients with CN is to control the original disease uneventfully before proceeding with management of the lesion site.

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