tailieunhanh - Atlas of the Diabetic Foot - part 10

Bản đồ của các điều kiện chân bệnh tiểu đường (tần số 13%) và có thể dẫn đến biến dạng cấu trúc và sự bất ổn nghiêm trọng. Một khoảng thời gian rộng lớn của bất động là cần thiết để ngăn ngừa dị tật. Từ khóa: cấp tính hệ thần kinh-osteoarthropathy | Neuro-Osteoarthropathy. The Charcot Foot 205 Figure Healed ulcer in the patient whose foot is shown in Figures . Recurrent ulceration of the midsole in a patient with midfoot collapse is an indication of osteotomy in the protruding bones Figure Clinical presentation of acute neuro-osteoarthropathy of the right ankle which is red warm and swollen 206 Atlas of the Diabetic Foot of the articular surfaces of the right tibia and talus. Bone fragments protruded medially Figure . A diagnosis of acute neuro-osteoarthropathy was made and the patient was advised to rest with his right foot in a total-contact cast. The cast was changed fortnightly for the first month and monthly for the next year. After this time osteoarthritic changes remained only in the affected joint and no major deformity was sustained. Neuro-osteoarthropathy in the ankle is the third most common pattern of this condition frequency of 13 and may result in severe structural deformity and instability. An extensive period of immobilization is required in order to prevent deformities. Keywords Acute neuro-osteoarthropathy NEUROOSTEOARTHROPATHY SANDERS AND FRYKBERG PATTERN IV DOUNIS TYPE III a b and c Figure Plain radiograph of chronic neuro-osteoarthropathy of the right ankle and foot as illustrated in Figure . There is erosion of the articular surfaces of the right tibia and talus and bone fragments protruding medially A 67-year-old patient with type 2 diabetes diagnosed at the age of 41 years attended the outpatient orthopedic clinic because of worsening painful ankle swelling after a strain in his right ankle 2 weeks previously. He had severe peripheral neuropathy and normal feet pulses. A plain film showed resorption of the distal parts of the tibial and peroneal bones and involvement of the ankle joint Figure . Pattern IV neuro-osteoarth-ropathy was diagnosed and the foot was placed in a total-contact cast and bed rest was advised. The patient did not comply with .

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