Yablon Corrie M, Duggal Naven, Wu Jim S, Shetty Sanjay K, Dawson Fui, Hochman Mary G
Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Curr Probl Diagn Radiol. 2010 Sep-Oct;39(5):187-99. doi: 10.1067/j.cpradiol.2009.06.001.
Charcot neuroarthropathy (CN) occurs commonly in diabetic patients in the joints of the foot and ankle. Radiologists may be the first to suggest the diagnosis of CN and can facilitate prompt intervention and treatment if they are aware of the radiographic manifestations of CN and the signs of progression of disease. Radiologists should also become aware of the evolving treatment of the disease as focus is shifting toward early surgical intervention and limb salvage rather than amputation. Knowledge of preoperative assessment, the types of surgeries performed, and some of the encountered postoperative complications enable the radiologist to facilitate timely intervention by our surgical colleagues and be a valuable member of the management team.
夏科氏神经关节病(CN)常见于糖尿病患者的足踝关节。如果放射科医生了解CN的影像学表现及疾病进展迹象,他们可能是最早提出CN诊断的人,并能促进及时干预和治疗。随着治疗重点转向早期手术干预和肢体挽救而非截肢,放射科医生也应了解该疾病不断发展的治疗方法。了解术前评估、所进行的手术类型以及一些术后并发症,能使放射科医生促进外科同事及时进行干预,并成为管理团队中有价值的一员。