Background
inflammation, dislocation, Charcot neuroarthropathy, fractures, diabetes
SKIN, INFLAMMATION, COMPLICATION, PERIPHERAL NEUROPATHY, DIABETES
Charcot neuroarthropathy is a relatively rare but serious complication that can affect people with peripheral neuropathy. It is most commonly diagnosed in people with diabetes, usually affecting the foot. There is uncontrolled inflammation, bones become weakened, and this can lead to fractures and joint dislocation.In 2018 a regional survey of 205,033 people with diabetes in the East Midlands, England reported a point prevalence of 0.04% [Usual care for people with Charcot neuroarthropathy is to offload pressure and immobilise the foot with a non-removable cast or boot [Guidelines for Charcot neuroarthropathy management state that off-loading and immobilisation should be continued until the temperature difference between the affected and unaffected foot is < 2 °C, with no further radiological changes on X-ray [Skin temperature measured with infrared thermography is recommended as a monitoring technique in Charcot neuroarthropathy, as it involves inflammation of the soft tissue and bone [