Diabetic Charcot Neuroarthropathy of the Hand: Clinical Course, Diagnosis, and Treatment Options

Illgner, Ulrich; Netten, Jaap J. van; Droste, Carolin; Meiners, Thomas; Postema, Klaas; Wetz, H. H.

doi:10.2337/dc13-2903

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…CA can affect non-weight-bearing upper extremity joints as well, although much less frequently. Previous literature describes CA of the glenohumeral, elbow, and wrist joints with a paucity of cases in the digits [3][4][5][6] .…”

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confidence: 99%

Charcot Arthropathy of the Digit

Rich,

Ward

2023

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Case: Charcot arthropathy (CA) is a progressive degenerative joint disease typically affecting lower extremity weight-bearing joints, with only a few cases reported in the fingers. We present 2 cases of interphalangeal joint CA: the long finger distal interphalangeal joint in a 73-year-old man with severe carpal tunnel syndrome and the ring finger proximal interphalangeal joint of a 71-year-old woman with diabetic neuropathy. Conclusion: Two cases of CA of the digits were treated with splinting with resolution of symptoms and no wound complications.

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Charcot Arthropathy of the Digit

Rich,

Ward

2023

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“…rheumatic diseases, alcohol abuse, toxicity [3,4]. CN is not only seen in feet but in knees and hands as well [5,6]. It is necessary to understand the exact pathological mechanism and correlates of CN to be able to find a test and further on a treatment.…”

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confidence: 99%

A Specific and Reliable Test for Charcot Neuropathy is Still Missing

Illgner¹

2018

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Background: Charcot Neuropathy is a severe complication of patients with neuropathy mostly seen in the foot, but it can also appear in the knee or hand. Not only diabetic patients are involved. CN can lead to a complete collapse of the foot with subsequent ulceration and infection. The mechanism of this episode-like breakdown has not been understood so far. CN still remains mainly a clinical diagnosis depended on clinical experience because there is still no reliable and specific test even though imaging has improved. X-rays represent the traditional way to diagnose CN according to the classification of Eichenholtz of 1967. But at the time these alterations become visible, the bone is already damaged. Therefore Shiabata introduced the MRI as Stage 0 into this existing classification. New approaches using CT or PET/CT have been published.

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