Neuropathic joint disease
Description
- Charcot joint - progressive destructive arthropathy in a joint that has lost PROTECTIVE SENSATION
- *The cardinal paradox: gross destruction with disproportionately little pain*
- Two phases
- ACTIVE (acute) Charcot - hot, red, swollen, oedematous foot; skin temperature typically >2 degrees C warmer than the contralateral side
- CHRONIC (coalescence/reconstruction) - deformity, ROCKER-BOTTOM foot, midfoot collapse, ulceration
- Eichenholtz stages: 0 (inflammation, normal X-ray) -> 1 (fragmentation) -> 2 (coalescence) -> 3 (consolidation/remodelling)
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