Nondiabetic Charcot Neuroarthropathy: Evaluation and Treatment.

Emily C Wagler

Journal: Clinics in podiatric medicine and surgery 2022;39(4):571-584

PMID: 36180189

Full Text on Elsevier Science View on PubMed

Abstract

There are many similarities between nondiabetic and diabetic Charcot neuroarthropathy (CN) but many of the underlying causes causing nondiabetic neuropathy and CN are associated with poor bone quality. Patient workup for nondiabetic CN should include the underlying cause of the neuropathy and optimization of bony healing, such as vitamin D supplementation and bisphosphonate or calcitonin administration. Surgical reconstruction should include the most robust fixation possible, as nondiabetic patients with CN are more prone to delayed union.

Address: Department of Podiatry and Foot & Ankle Surgery, The Vancouver Clinic, 501 Southeast 172nd Avenue, Vancouver, WA 98684, USA. Electronic address: [email protected].

DOI: 10.1016/j.cpm.2022.05.004

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MeSH Terms: Arthropathy, Neurogenic, Calcitonin, Diabetes Mellitus, Diphosphonates, Humans, Vitamin D