Diabetes Care. 2011 September; 34(9): 2123–2129.
© 2011 by the American Diabetes Association and the American Podiatric Medical Association.
The Charcot Foot in Diabetes
From the 1Amputation Prevention Center at Valley Presbyterian Hospital, Los Angeles, California; the
2Carl T. Hayden Veterans Affairs Medical Center, Phoenix, Arizona; the
3Southern Arizona Limb Salvage Alliance (SALSA), University of Arizona College of Medicine, Tucson, Arizona; the
4Department of Medicine, University of Manchester, Manchester, U.K.; the
5Diabetic Foot Clinic, King's College Hospital, London, U.K.; the
6Diabetes and Metabolic Diseases Department, Pitié-Salpêtrière University Hospital, Paris, France; the
7Department of Diabetes and Endocrinology, Nottingham University Hospitals NHS Trust, Nottingham, U.K.; the
8Institute for Clinical and Experimental Medicine, Diabetes Centre, Prague, Czech Republic; the
9Department of Diabetes and Angiology, Marienkrankenhaus, Soest, Germany; the
10Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; the
11Department of Orthopedic Surgery, Loyola University Health System, Maywood, Illinois; the
12Diabetes Center and Foot Care Unit A, Gemelli Hospital, Catholic University, Rome, Italy; the
13Podiatry Service, Veterans Affairs Medical Center, Lebanon, Pennsylvania; the
14Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and the
15Department of Internal Medicine, University of Rome Tor Vergata, Rome, Italy
The Charcot foot in diabetes poses many clinical challenges in its diagnosis and management. Despite the time that has passed since the first publication on pedal osteoarthropathy in 1883, we have much to learn about the pathophysiology, and little evidence exists on treatments of this disorder. The international task force was convened in January 2011 at the Salpêtrière Hospital in Paris, France, to review the literature and report on the definition, pathogenesis, diagnosis, and treatment of the diabetic Charcot foot. Recommendations in this report are solely the opinions of the authors and do not represent the official positions of the American Diabetes Association or the American Podiatric Medical Association.