{"id":10001,"date":"2018-07-27T15:49:03","date_gmt":"2018-07-27T15:49:03","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=10001"},"modified":"2018-08-02T14:02:55","modified_gmt":"2018-08-02T14:02:55","slug":"lartropatia-neuropatica-o-peu-de-charcot","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/lartropatia-neuropatica-o-peu-de-charcot\/","title":{"rendered":"L\u2019artropatia neurop\u00e0tica o peu de Charcot"},"content":{"rendered":"<p>L\u2019artropatia neurop\u00e0tica \u00e9s coneguda tamb\u00e9 com a peu de Charcot en reconeixement Jean-Marie Charcot, el primer a descriure aquesta neuropatia cr\u00f2nica i degenerativa. L\u2019artropatia neurop\u00e0tica \u00e9s resultant de diferents neuropaties perif\u00e8riques. La neuropatia diab\u00e8tica n\u2019\u00e9s la causa principal.<\/p>\n<p>El peu de Charcot es caracteritza per eritema o enrogiment de la pell, inflamaci\u00f3 aguda localitzada amb feblesa \u00f2ssia que comporta esquin\u00e7os, aix\u00ed com destrucci\u00f3 \u00f2ssia, subluxaci\u00f3 i deformitat del peu o fins i tot turmell. Tot aix\u00f2 \u00e9s conseq\u00fc\u00e8ncia de diversos factors tals com la diabetis, la neuropatia sensitivomotora, la neuropatia auton\u00f2mica i els trastorns metab\u00f2lics ossis.<\/p>\n<p>El peu de Charcot presenta una inflamaci\u00f3 o edema generalitzat del peu, junt amb un reflex vascular neural que comporta una vasodilataci\u00f3 permanent amb la conseg\u00fcent reabsorci\u00f3 activa del teixit ossi per p\u00e8rdua de la inervaci\u00f3 simp\u00e0tica.<\/p>\n<p>Aquesta vasodilataci\u00f3 cont\u00ednua provoca una caracter\u00edstica primordial del peu de Charcot que \u00e9s l&#8217;augment de la temperatura cut\u00e0nia.<\/p>\n<p>Encara que en fases agudes el pacient afectat d\u2019artropatia neurop\u00e0tica pot referir dolor, la majoria d&#8217;ocasions sol estar disminu\u00eft. La neuropatia sensorial perif\u00e8rica al costat de la disminuci\u00f3 del dolor s\u00f3n determinants en el peu de Charcot.<\/p>\n<p>La remodelaci\u00f3 \u00f2ssia amb aparici\u00f3 de promin\u00e8ncies \u00f2ssies junt amb falta de sensibilitat, \u00e9s un risc elevad\u00edssim de formaci\u00f3 de lesions en el peu o turmell i, en conseq\u00fc\u00e8ncia, infeccions superficials o profundes d&#8217;aquestes lesions, que poden arribar a amputacions. Les deformitats \u00f2ssies m\u00e9s freq\u00fcents s\u00f3n digitals, aplanament del peu o fins i tot remodelaci\u00f3 \u00f2ssia del peu en forma de balanc\u00ed en fases tardanes.<\/p>\n<p>La neuropatia \u00e9s una caracter\u00edstica t\u00edpica del peu de Charcot. La diabetis \u00e9s una causa determinant de la neuropatia.<\/p>\n<p>El 80% de diab\u00e8tics que pateixen la artropatia neurop\u00e0tica estan diagnosticats de diabetis en per\u00edodes superiors als deu anys i molts d&#8217;ells estan mal controlats.<\/p>\n<p>Altres factors que afavoreixen aquesta neuropatia s\u00f3n l&#8217;alcoholisme, els traumatismes, la siringomi\u00e8lia, el Parkinson, el VIH, la malaltia de Hansen o les malalties reum\u00e0tiques.<\/p>\n<p>El pacient sol notar canvis estructurals del peu i fins i tot cruiximent dels ossos en deambular.<\/p>\n<p>Eichenholtz classifica l\u2019artropatia neurop\u00e0tica en 3 etapes:<\/p>\n<p>a) Etapa I: Desenvolupament de l\u2019artropatia. Destrucci\u00f3 i fragmentaci\u00f3 \u00f2ssia amb hiper\u00e8mia i canvis tr\u00f2fics cutanis. Peu tumefacte i calent.<\/p>\n<p>b) Etapa II: Coalesc\u00e8ncia. Inici de la reparaci\u00f3 \u00f2ssia aix\u00ed com desaparici\u00f3 progressiva d&#8217;alguns s\u00edmptomes (rubor, edema i calor).<\/p>\n<p>c) Etapa III: Consolidaci\u00f3 \u00f2ssia amb deformitat residual.<\/p>\n<p>Per obtenir el diagn\u00f2stic prec\u00eds, pot utilitzar-se la radiografia amb la finalitat de visualitzar fractures o subluxacions, calcificaci\u00f3 d&#8217;art\u00e8ries i reducci\u00f3 de l&#8217;angle d&#8217;inclinaci\u00f3 del calcani en etapes avan\u00e7ades. Els canvis del peu de Charcot a nivell radiol\u00f2gic s\u00f3n tardans. Per aix\u00f2 es recomana la Resson\u00e0ncia Magn\u00e8tica per detectar canvis m\u00ednims en etapes primerenques. Cal no oblidar la import\u00e0ncia de la hist\u00f2ria cl\u00ednica, l&#8217;exploraci\u00f3 f\u00edsica i els ex\u00e0mens de laboratori.<\/p>\n<p>El tractament conservador s&#8217;orienta a reduir l&#8217;edema del peu i prevenir possibles fractures. L&#8217;edema i l&#8217;augment de la temperatura es redueixen mitjan\u00e7ant la immobilitzaci\u00f3 amb guix complet durant un m\u00ednim de 18 setmanes, que ha de ser reempla\u00e7at peri\u00f2dicament fins a igualar la temperatura de tots dos peus. Passada aquesta fase, s&#8217;utilitzen ortesis i f\u00e8rules de desc\u00e0rrega i cal\u00e7at adequat durant la deambulaci\u00f3 en funci\u00f3 dels diferents graus d&#8217;afectaci\u00f3.<\/p>\n<p>El tractament quir\u00fargic ha de realitzar-se com a corrector de deformitats, sobretot de l&#8217;articulaci\u00f3 del turmell, desarticulaci\u00f3 o osteomielitis.<\/p>\n<p>La cirurgia no ha d&#8217;usar-se en fases agudes del peu de Charcot. L&#8217;objectiu quir\u00fargic \u00e9s l&#8217;\u00fas d&#8217;empelts ossis i artrodesis amb la finalitat d&#8217;estabilitzar i restaurar la posici\u00f3 i la funcionalitat, i prevenir posteriors destruccions \u00f2ssies.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9953\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-1-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"379\" height=\"568\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-1-1.jpg 379w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-1-1-156x234.jpg 156w\" sizes=\"auto, (max-width: 379px) 100vw, 379px\" \/><\/p>\n<p>Peu de\u00a0Charcot. Observi la\u00a0pronaci\u00f3n\u00a0\u00f2ssia de l&#8217;arc extern plantar.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9957\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-2-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"598\" height=\"399\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-2-1.jpg 598w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-2-1-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-2-1-450x300.jpg 450w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/p>\n<p>El peu de\u00a0Charcot\u00a0provoca greus canvis del suport plantar.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9961\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-3-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"598\" height=\"399\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-3-1.jpg 598w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-3-1-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-3-1-450x300.jpg 450w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/p>\n<p>Radiografia de perfil del peu de\u00a0Charcot. Observi la imatge en balanc\u00ed.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9965\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-4-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"691\" height=\"461\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-4-1.jpg 691w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-4-1-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-4-1-450x300.jpg 450w\" sizes=\"auto, (max-width: 691px) 100vw, 691px\" \/><\/p>\n<p>Radiografia\u00a0dorsoplantar. Observi l&#8217;afectaci\u00f3 en el peu esquerre.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9969\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-5-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"258\" height=\"194\" \/><\/p>\n<p>Complicaci\u00f3 del peu de\u00a0Charcot. \u00dalcera plantar.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9973\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-6-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"263\" height=\"351\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-6-1.jpg 263w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-6-1-175x234.jpg 175w\" sizes=\"auto, (max-width: 263px) 100vw, 263px\" \/><\/p>\n<p>Complicaci\u00f3 del peu de\u00a0Charcot. \u00dalcera plantar amb\u00a0osteomielitis.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9977\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-7-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"367\" height=\"489\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-7-1.jpg 367w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-7-1-176x234.jpg 176w\" sizes=\"auto, (max-width: 367px) 100vw, 367px\" \/><\/p>\n<p>Afectaci\u00f3 del 5\u00ba\u00a0metatarsi\u00e0 en el peu de\u00a0Charcot. Observi la remodelaci\u00f3 \u00f2ssia que va sofrir el 4\u00ba dit.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9981\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-8-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"344\" height=\"258\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-8-1.jpg 344w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-8-1-312x234.jpg 312w\" sizes=\"auto, (max-width: 344px) 100vw, 344px\" \/><\/p>\n<p>Complicaci\u00f3 del peu de\u00a0Charcot. \u00dalcera plantar.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9985\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-9-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"460\" height=\"307\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-9-1.jpg 460w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-9-1-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-9-1-450x300.jpg 450w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/><\/p>\n<p>Suport plantar de desc\u00e0rrega.<\/p>\n<p><img  title=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9989\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-10-1.jpg\"  alt=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\"  width=\"288\" height=\"384\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-10-1.jpg 288w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-foto-10-1-176x234.jpg 176w\" sizes=\"auto, (max-width: 288px) 100vw, 288px\" \/><\/p>\n<p>Bota de\u00a0Walker<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019artropatia neurop\u00e0tica \u00e9s coneguda tamb\u00e9 com a peu de Charcot en reconeixement Jean-Marie Charcot, el primer a descriure aquesta neuropatia cr\u00f2nica i degenerativa. L\u2019artropatia neurop\u00e0tica \u00e9s resultant de diferents neuropaties perif\u00e8riques. La neuropatia diab\u00e8tica n\u2019\u00e9s la causa principal. El peu de Charcot es caracteritza per eritema o enrogiment de la pell, inflamaci\u00f3 aguda localitzada amb [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":9993,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[276,282,293,273,346,300,306],"tags":[],"class_list":["post-10001","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alteracions-dermatologiques","category-articles","category-divulgacio","category-formacio","category-icp-ca","category-ortopodologia-ortopedia-ca","category-patologia-ca"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>L\u2019artropatia neurop\u00e0tica o peu de Charcot - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u2019artropatia neurop\u00e0tica o peu de Charcot - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"L\u2019artropatia neurop\u00e0tica \u00e9s coneguda tamb\u00e9 com a peu de Charcot en reconeixement Jean-Marie Charcot, el primer a descriure aquesta neuropatia cr\u00f2nica i degenerativa. L\u2019artropatia neurop\u00e0tica \u00e9s resultant de diferents neuropaties perif\u00e8riques. La neuropatia diab\u00e8tica n\u2019\u00e9s la causa principal. El peu de Charcot es caracteritza per eritema o enrogiment de la pell, inflamaci\u00f3 aguda localitzada amb [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/ca\/lartropatia-neuropatica-o-peu-de-charcot\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-27T15:49:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-08-02T14:02:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2018\/07\/pie-de-charcot-portada-2-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"737\" \/>\n\t<meta property=\"og:image:height\" content=\"491\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/lartropatia-neuropatica-o-peu-de-charcot\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/lartropatia-neuropatica-o-peu-de-charcot\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"L\u2019artropatia neurop\u00e0tica o peu de Charcot\",\"datePublished\":\"2018-07-27T15:49:03+00:00\",\"dateModified\":\"2018-08-02T14:02:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/lartropatia-neuropatica-o-peu-de-charcot\\\/\"},\"wordCount\":749,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/lartropatia-neuropatica-o-peu-de-charcot\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2018\\\/07\\\/pie-de-charcot-portada-2-1.jpg\",\"articleSection\":[\"Alteracions dermatol\u00f2giques\",\"Articles\",\"Divulgaci\u00f3\",\"Formaci\u00f3\",\"ICP\",\"Ortopodologia Ortop\u00e8dia\",\"Patologia\"],\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/lartropatia-neuropatica-o-peu-de-charcot\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/lartropatia-neuropatica-o-peu-de-charcot\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/lartropatia-neuropatica-o-peu-de-charcot\\\/\",\"name\":\"L\u2019artropatia neurop\u00e0tica o peu de Charcot - 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