Caputo G M, Ulbrecht J, Cavanagh P R, Juliano P
Division of General Internal Medicine, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pa., USA.
Am Fam Physician. 1998 Jun;57(11):2705-10.
The Charcot foot commonly goes unrecognized, particularly in the acute phase, until severe complications occur. Early recognition and diagnosis, immediate immobilization and a lifelong program of preventive care can minimize the morbidity associated with this potentially devastating complication of diabetic neuropathy. If unrecognized or improperly managed, the Charcot foot can have disastrous consequences, including amputation. The acute Charcot foot is usually painless and may mimic cellulitis or deep venous thrombosis. Although the initial radiograph may be normal, making diagnosis difficult, immediate detection and immobilization of the foot are essential in the management of the Charcot foot. A lifelong program of patient education, protective footwear and routine foot care is required to prevent complications such as foot ulceration.
夏科氏足通常难以被识别，尤其是在急性期，直到出现严重并发症时才会被发现。早期识别与诊断、立即固定以及终身预防性护理方案，可将与这种糖尿病神经病变潜在毁灭性并发症相关的发病率降至最低。如果未被识别或处理不当，夏科氏足可能会导致灾难性后果，包括截肢。急性夏科氏足通常无痛，可能类似蜂窝织炎或深静脉血栓形成。尽管最初的X线片可能正常，这使得诊断困难，但立即发现并固定足部对于夏科氏足的治疗至关重要。需要开展终身患者教育、使用防护鞋以及进行常规足部护理，以预防足部溃疡等并发症。
