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Revista Portuguesa de Ortopedia e Traumatologia

Print version ISSN 1646-2122


PINHEIRO, Ana. Pé de Charcot: Uma visão actual da neuroartropatia de Charcot. Rev. Port. Ortop. Traum. [online]. 2014, vol.22, n.1, pp.24-33. ISSN 1646-2122.

The Charcot neuroarthropathy (CNA) is a osteoarticular neuropathic foot deformity mainly caused by diabetes. The delay in diagnosis and treatment of CNA can lead to ulceration and amputation of the foot, hence the importance of early diagnosis and treatment. The exact mechanism of its pathogenesis is not yet established, but both theories, neurovascular and neurotraumatic, may play an important role. The diagnosis of acute CNA is predominantly clinical presenting the affected foot hyperemia, swelling and elevated temperature. In the chronic phase the foot shows no signs of inflammation but keeps swelling and has several deformities. The CNA can be classified according to different classification systems with some clinical importance, but not prognostic. The CNA is a neuroarthropathy with important individual and social consequences, that being predominantly associated with diabetes, deserves special attention in order to diagnose and treat this complication early since this serious public health problem. The aim of this article focused on the literature review of CNA in order to acquire the latest knowledge in the various dimensions of this disease, including epidemiology, pathogenesis, clinical presentation, diagnosis and classification forms. Research was carried out in pubmed / medline with the words “Charcot foot" and "Charcot neuroarthropathy”, selecting particular articles published in the last 15 years, including original and review articles.

Keywords : Charcot foot; Charcot neuroarthropathy; epidemiology; pathogenesis; clinical presentation; diagnosis; classification.

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