A multidisciplinary team approach to the management of Charcot neuroarthropathy with ulceration.

Charcot neuropathic arthropathy is frequently associated with a prolonged healing time and risk of ulceration, infection and amputation. Originally described by Jean-Martin Charcot as characteristic changes of the foot in tertiary syphilis in 1883, the 'Charcot foot' was described as a complication of diabetes in 1936. Diagnosis of Charcot is based on a clinical history and both clinical and radiological findings, and the demonstration of fractures or dislocations in one or more bones of the foot. The multidisciplinary team (MDT) approach to ulcer and amputation prevention has been well-documented, aiming to improve quality of life in addition to reducing amputations rates. Professionals within the MDT include: podiatrist, diabetes physician, orthotist, diabetes nurse specialist, vascular surgeon, orthopaedic surgeon and radiographer. [ABSTRACT FROM AUTHOR]