Mautone Marcela, Naidoo Parm
Diagnostic Imaging Department, Monash Health, Melbourne, Victoria, Australia.
Monash University, Melbourne, Victoria, Australia.
J Med Imaging Radiat Oncol. 2015 Aug;59(4):395-402. doi: 10.1111/1754-9485.12325. Epub 2015 Jun 3.
Charcot neuropathic osteoarthropathy (CN) is a progressive disease affecting the bones, joints and soft tissue of the foot and ankle, most commonly associated with diabetic neuropathy. Patients with diabetes complicated by CN have especially high morbidity, frequency of hospitalisation, and therefore, significant utilisation of expensive medical resources. The diagnosis of early CN can be challenging and is based on clinical presentation supported by various imaging modalities. Imaging is important for the detection of early CN and is useful in monitoring progression and complications of the disease. The later stages of CN are potentially devastating for individuals and present an increasing socioeconomic challenge for health systems. The astute radiologist, particularly in the context of a multidisciplinary team, plays a critical role in diagnosis of the primary disease and its complications. This review article aims to outline the key features of CN, emphasising current clinical and radiologic concepts as an aid for the practising radiologist.
夏科氏神经性骨关节病（CN）是一种进行性疾病，影响足踝部的骨骼、关节和软组织，最常与糖尿病性神经病变相关。患有合并CN的糖尿病患者具有特别高的发病率和住院频率，因此大量使用昂贵的医疗资源。早期CN的诊断可能具有挑战性，其诊断基于多种影像学检查支持的临床表现。影像学对于早期CN的检测很重要，并且在监测疾病进展和并发症方面很有用。CN的晚期对个体可能具有毁灭性，并且对卫生系统构成日益增加的社会经济挑战。敏锐的放射科医生，特别是在多学科团队的背景下，在原发性疾病及其并发症的诊断中起着关键作用。这篇综述文章旨在概述CN的关键特征，强调当前的临床和放射学概念，以帮助执业放射科医生。
