Der Charcot-Fuß ist eine potenziell verheerende Komplikation des Diabetes mellitus, die im ungünstigen Verlauf zur Amputation führen kann. Daher ist es wichtig, dass Sie bei entsprechender Klinik (Schwellung, Rötung, Überwärmung) frühzeitig daran denken. Bei den Betroffenen selbst ist das Krankheitsempfinden bei dem nicht schmerzhaften und wenig bedrohlich erscheinenden lokalen Befund oft nur mäßig ausgeprägt.
Literatur
Sanders LJ. The Charcot foot: historical perspective 1827-2003. Diabetes/metabolism research and reviews. 2004;20 Suppl 1:S4–8.
Jeffcoate WJ. Charcot neuro-osteoarthropathy. Diabetes/metabolism research and reviews. 2008;24 Suppl 1:S62–5.
Zimny S. Diagnostik und Therapie bei diabetisch neuropatischer Osteoarthropathie in: Eckardt A., Lobmann R.. der diabetische Fuß Springer Verlag Heidelberg 2005
Papanas N, Maltezos E. Etiology, pathophysiology and classifications of the diabetic Charcot foot. Diabetic foot & ankle. 2013;4.
Varma AK. Charcot neuroarthropathy of the foot and ankle: a review. The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons. 2013;52(6):740–9.
Donegan R, Sumpio B, Blume PA. Charcot foot and ankle with osteomyelitis. Diabetic foot & ankle. 2013;4.
Rogers LC, Frykberg RG, Armstrong DG, Boulton AJ, Edmonds M, Van GH, Hartemann A, Game F, Jeffcoate W, Jirkovska A, Jude E, Morbach S, Morrison WB, Pinzur M, Pitocco D, Sanders L, Wukich DK, Uccioli L. The Charcot foot in diabetes.Diabetes Care. 2011;34(9):2123–9.
Lobmann R., Achwerdov O., Brunk-Loch S., Engels G., Trocha A., Groene C., Kersken J. for the quality management representatives of the working group diabetic foot of the German Diabetes Society The diabetic foot in Germany 2005–2012: Analysis of quality in specialized diabetic foot care centers Wound Medicine 4 (2014) 27–29
Game F, Jeffcoate W. The charcot foot: neuropathic osteoarthropathy. Advances in skin & wound care. 2013;26(9):421–8; quiz 9-30.
Gouveri E, Papanas N. Charcot osteoarthropathy in diabetes: A brief review with an emphasis on clinical practice. World journal of diabetes. 2011;2(5):59–65.
Jeffcoate WJ, Game F, Cavanagh PR. The role of proinflammatory cytokines in the cause of neuropathic osteoarthropathy (acute Charcot foot) in diabetes. Lancet. 2005;366(9502):2058–61.
Mabilleau G, Petrova NL, Edmonds ME, Sabokbar A. Increased osteoclastic activity in acute Charcot’s osteoarthropathy: the role of receptor activator of nuclear factor-kappaB ligand.Diabetologia. 2008;51(6):1035–40.
Larson SA, Burns PR. The pathogenesis of Charcot neuroarthropathy: current concepts. Diabetic foot & ankle. 2012;3.
Ndip A, Williams A, Jude EB, Serracino-Inglott F, Richardson S, Smyth JV, et al. The RANKL/RANK/OPG signaling pathway mediates medial arterial calcification in diabetic Charcot neuroarthropathy. Diabetes. 2011;60(8):2187–96.
Chantelau EA, Richter A. The acute diabetic Charcot foot managed on the basis of magnetic resonance imaging—a review of 71 cases. Swiss medical weekly. 2013;143:w13831.
Ergen FB, Sanverdi SE, Oznur A. Charcot foot in diabetes and an update on imaging. Diabetic foot & ankle. 2013;4.
Guven MF, Karabiber A, Kaynak G, Ogut T. Conservative and surgical treatment of the chronic Charcot foot and ankle. Diabetic foot & ankle. 2013;4.
Jostel A, Jude EB. Medical treatment of Charcot neuroosteoarthropathy. Clinics in podiatric medicine and surgery. 2008;25(1):63–9, vi-vii.
Waldecker U., Eckhardt A. Operative Maßnahmen in: Eckardt A., Lobmann R.. der diabetische Fuß Springer Verlag Heidelberg 2005
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lobmann, R. Übersehen Sie den Charcot-Fuß nicht!. MMW - Fortschritte der Medizin 157, 61–65 (2015). https://doi.org/10.1007/s15006-015-3356-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15006-015-3356-z