The Differentiation Between Infection and Acute Charcot

Orthop Clin North Am. 2024 Apr;55(2):299-309. doi: 10.1016/j.ocl.2023.08.002. Epub 2023 Sep 7.ABSTRACTThe differentiation between acute Charcot neuroarthropathy and infection in the foot and ankle should be supported by multiple criteria. A detailed history and physical examination should always be completed. Plain radiographs should be performed, though advanced imaging, currently MRI, is more helpful in diagnosis. Scintigraphy and PET may become the standard imaging modalities once they are more clinically available due to their reported increased accuracy. Laboratory analysis can also act as a helpful diagnostic tool. Histopathology with culturing should be performed if osteomyelitis is suspected. The prompt diagnosis and initiation of treatment is vital to reducing patient morbidity and mortality.PMID:38403375 | DOI:10.1016/j.ocl.2023.08.002
Source: The Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research