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Early stage diabetic Charcot Foot syndrome may respond to nerve decompression

✍ Scribed by D. Scott Nickerson; Daniel Alzheimer; A. Lee Dellon


Book ID
102510845
Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
323 KB
Volume
29
Category
Article
ISSN
0738-1085

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✦ Synopsis


Abstract

Diabetic Charcot Foot syndrome has been postulated to require a triggering event to initiate its puzzling inflammatory process, characterized by bony resorption, pathologic fractures, soft tissue ligamentous failure, and destruction of foot architecture. Two cases are presented where multiple lower extremity nerve decompression was performed early in the Charcot process. Resolution of clinical signs and radiographic abnormalities rapidly followed. The observation that these events were temporally concurrent suggests that nerve entrapment might reasonably be investigated as one of the postulated triggering events for the Charcot Foot in diabetes. © 2009 Wiley‐Liss, Inc. Microsurgery 2009.