The Essential Charcot Neuroarthropathy: Biomechanics, Pathophysiology, and MRI Findings provides a comprehensive analysis of Charcot neuroarthropathy (or Charcot Foot) in diabetic patients. All aspects are covered, including epidemiology, biomechanics, pathophysiology, socioeconomic impacts, radiological findings, and differential diagnosis, with an emphasis on MRI. Chapters address the challenges of pre-and-post surgical management of Charcot neuroarthropathy and the role of unconventional imaging modalities in diagnosis. The book presents an analysis of the normal biomechanics of the ankle and foot, the biomechanical derangements of the ankle-foot unit (including abnormal gait) caused by diabetes Type II, and more.
Finally, there is also a reference of the pathophysiology of diabetes-induced peripheral neuropathy and its direct link with the development of Charcot neuroarthropathy foot. Diabetes-induced Charcot foot is frequently misunderstood, misinterpreted and misdiagnosed which can lead to confusion and detrimental management with reported high morbidity.
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Table of Contents
1. Biomechanics of the Ankle-Foot Unit. Role of the Ankle-Foot Unit in Normal Gait2. Pathophysiology of Diabetes and Charcot Neuroarthropathy. MRI findings / Illustrations3. Epidemiology and Socio-Economic Impacts of Diabetes and Charcot Neuroarthropathy Worldwide. Statistical Notes4. Charcot Neuroarthropathy: Historical Analysis of the Charcot Foot. The French Hypothesis and the German Hypothesis. MR images /Illustrations5. The Normal Bone. Bone Deformity and Joint Dislocation in Charcot Neuroarthropathy. MR images / Illustrations6. Biomechanical Behavior of the Normal Bone. Fractures seen in Charcot Neuroarthropathy. MR images / Illustrations7. Infections in Charcot Neuroarthropathy. Osteomyelitis, general considerations. MR images / Illustrations8. Differential Diagnosis in Charcot Neuroarthropathy: Conditions that resemble the Charcot Foot. MR images / Illustrations9. The Articular Cartilage: Biomechanics and Damage in Diabetes-related Charcot Neuroarthropathy (osteochondropathy). MR images / Illustrations10. The Skin of the Foot: Anatomy. Pathologies in Diabetes Type II. Skin Ulcerations in Charcot Neuroarthropathy. MR images /Illustrations11. The Fat Tissue of the Foot: Subcutaneous Fat Pad and Kager's Fat. Changes in Charcot Neuroarthropathy. MR images / Illustrations12. The Plantar Aponeurosis: Anatomy, Biomechanics, Imaging. Pathologies in Charcot Neuroarthropathy. MR images / Illustrations13. The Muscles of the Foot: Anatomy, Biomechanics, Pathologies in Charcot Neuroarthropathy. MR images / Illustrations14. The Achilles Tendon: Anatomy, Biomechanics and Pathologies in Charcot Neuroarthropathy. MR images / Illustrations15. The Tendons and Ligaments of the Foot and Ankle. Pathologies in Charcot Neuroarthropathy. MR images / Illustrations16. The Synovium and Bursae of the Foot and Ankle. Pathologies in Charcot Neuroarthropathy. MR images / Illustrations17. The Vascular System of the Foot and Ankle. Pathologies in Charcot Neuroarthropathy. MR images / Illustrations Chapter
18. The Nervous System: Innervations of the Skeleton. Bone Homeostasis. Peripheral Neuropathies of the Foot (Baxter's neuropathy, Tarsal Tunnel Syndrome, Peroneal Neuropathy) MR images / Illustrations19. The Surgical Management of the Charcot Foot Physical Examination of the Foot Prior to Surgery. Indications and Criteria for Amputation. Surgical Techniques20. The Operated Charcot neuroarthropathic Foot. Biomechanics of the Operated Foot. Management of Foot Ulcerations21. The Surgical approach and Follow-Up of the complicated Charcot Foot: General Considerations22. Imaging modalities for Charcot Neuroarthropathy: Indications and Usefulness (radiography, ultrasonography, computed tomography, nuclear medicine and MRI)23. Considerations of Other Imaging Techniques in the Evaluation of Charcot Neuroarthropathy (MR Spectroscopy, MR DTI-Tractography, MR Elastography, and PET MRI)