Asymptomatic Charcot Foot in Longstanding Diabetes | ||
| The Medical Journal of Cairo University | ||
| Article 9, Volume 89, September, September 2021, Pages 1417-1425 PDF (444.01 K) | ||
| DOI: 10.21608/mjcu.2021.194950 | ||
| Authors | ||
| MOHAMED E. EL-SHINAWI, M.D.; NADER M. HAMADA, M.D.; ABDEL RAHMAN M. ABDEL RAHMAN, M.Sc. | ||
| The Department of General Surgery, Faculty of Medicine, Ain Shams University | ||
| Abstract | ||
| Abstract Background: Charcot foot is a longstanding complication of Diabetes Mellitus (DM) and the incidence of undiagnosed Charcot disease among diabetic patients ranges from 0.4% to 13%. Aim of Study: This study aimstodiagnose preclinical Charcot disease in longstanding diabetic patients. Patients and Methods: Aprospective study was carried out on 50 patients with longstanding diabetes. Full history was taken, laboratory and radiological investigations were performed. Results: 52% of patients were found to have positive findings for Charcot disease. Positive findings on X-ray were found to be significantly related with age, HbA1C, DM duration and body mass index. Conclusion: Patients with long standing diabetes mellitus with no obvious deformity or foot ulcerations should be screened for Charcot foot X-ray findings and should be advised about proper glycemic control, avoiding minor trauma and seeking medical advice once early clinical signs of Charcot foot appear. | ||
| Keywords | ||
| Charcot foot; Long standing diabetes; X-Ray | ||
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