Diabetes Mellitus’lu Pediatrik Hastada Gelişen Charcot Artropatisi: Olgu Sunumu

Umut Akgün; Barış Kocaoğlu; Bülent Erol; Mustafa Karahan; Tanıl Esemenli

Charcot's Arthropathy In a Pediatric Patient With Diabetus Mellitus: a Case Report

Yıl 2010, Sayı: 1, 38 - 42, 01.03.2010

Umut Akgün Barış Kocaoğlu Bülent Erol Mustafa Karahan Tanıl Esemenli

Öz

Charcot’s Arthropathy is a chronic, progressive, and destructive joint disease which develops due to diminishing of sensorial joint innervation. Although it is frequently seen in various disorders, particularly of diabetus mellitus, this condition has been rarely reported in pediatric patients. Based on history, physical examination, and radiological studies, a 13-year-old girl was diagnosed as having Charcot arthropaty on her right foot. A short leg cast was applied and the patient was not allowed for weight-bearing for a period of 6 weeks. A signifi cant clinical recovery was achieved following conservative treatment, which maintained during the followup period

Anahtar Kelimeler

pediatrics, charcot arthropaty, conservative treatment

Kaynakça

Mitchell JK: On a new practice in acute and chronic rheumatism. Am J Med Sci 1831; 8:55-64.
Charcot JM: Sur quelques arthropathies qui paraissent dependre d’une lesion du cerveau ou de la moelle epiniere. Arch Physiol Norm Pathoi 1868; 1:161-178.
Giurini JM, Chrzan JS, Gibbons GW, Habershaw GM: Charcot’s disease in diabetic patients. Correct diagnosis can prevent progressive deformity. Postgrad Med 1991; 89:163-169.
Lipmann HI, Perotto A, Farrar R: The neuropathic foot of the diabetic. Bull NY Acad Med 1976; 52:1159-1178.
Reinherz RP, Cheleuitte ER, Fleischli JG, Hill M: Identifi cation and treatment of the diabetic neuropathic foot. J Foot Ankle Surg 1995; 34:74-78.
Schon LC, Easley ME, Weinfeld SB: Charcot neuroarthropathy of the foot and ankle. Clin Orthop. 1998 Apr; 349:116-31.
Jordan WR: Neuritic manifestations in diabetes mellitus. Arch Intern Med 1936; 57:307-366.
Vanderhooft E, Sack J: Charcot arthropathy following digital replantation. J Hand Surg 1995; 20A:683-686.
Bayne O, Lu EJ: Diabetic Charcot’s arthropathy of the wrist. Case report and literature review. Clin Orthop. 1998; 357:122-6.
Sinacore DR, Withrington NC: Recognition and management of acute neuropathic (Charcot) arthropathies of the foot and ankle. J Orthop Sports Phys Ther.1999 Dec; 29(12):736-46.Review.
Brower AC, Allman RM: Pathogenesis of the neurotrophic joint: neurotraumatic vs neurovascular. Radiology 1981; 139:349-354.
Cundy TF, Edmonds ME, Watkins PJ: Osteopenia and metetarsal fracture in diabetic neuropathy. Diabet Med. 1985; 2:461-464.
Frykberg RG, Kozak GP: Neuropathic arthropathy in the diabetic foot. Am Fam Physician 1978; 17:105-113.
Sinha S, Munichoodappa CS, Kozak GP: Neuro-arthropathy(Charcot joints) in diabetes mellitus. Medicine(Baltimore) 1972; 51:191-210.
Armstrong DG, Todd WF, Lavery LA, Harkless LB, Bushman TR: The natural history of acute Charcot’s arthropathy in the diabetic foot speciality clinic. Diabet Med 1997; 14-357-63.
Harrelson JM: Diabetic foot: Charcot arthropathy. Instr Course Lect 1993; 42:141-6.
Sommer TC, Lee TH: Charcot foot: diagnostic dilemma. Am Fam Physician. 2001 Nov 1; 64(9):1591-8.Review.
Sanders LJ, Frykberg RG: Diabetic neuropathic osteoarthropathy: Charcot foot. In The High Risk Foot in Diabetes Mellitus(5th edn), Levin MF, O’Neal LW, Bowker JH(eds). Churchill Livingstone: New York, 1991; 297-338.
Parker RD, Froimson AI: Neurogenic arthropathy of the hand and wrist. J Hand Surg 1986; 11A:706-710.
Eichenholtz SN: Charcot Joints. Springfi eld, IL, CC Thomas 1966.
Johnson JE: Surgical reconstruction of the diabetic Charcot foot and ankle. Foot Ankle Clin 1997; 2:37-55.
Myerson MS, Henderson MR, Wilson-Short K: Management of midfoot diabetic neuroarthropathy. Foot Ankle 1994; 15:223-241.
Schon LC, Marks RM: The management of neuroarthropathic fracture- dislocations in the diabetic patient. Orthop Clin North Am 1995; 26:375-392.