Charcot stage 0: A review and consideratons for making the correct diagnosis early

Table 5 Recognition of stage 0: Sella & Barrette Staging of Charcot

Stage			Diagnosis
0			Localized heat and midfoot swelling
1			Localized osteoporosis, subchondral cysts, erosions, and diastasis
2			Joint subluxations
3			Joint dislocations
4			Sclerosis and ultimate fusion of involved joint
Stage	No. of Feet	Radiographs	Scans – Tc99	Scan- In/Ga	Clinical Findings
0	10	Negative	+	-	Increased heat
1	6	Cysts, erosions, diastasis	+	-	Increased heat and swelling
2	16	Joint subluxation	+	-/less +	Mild pronation
3	12	Joint dislocation	+	-/less +	Bony prominences, pronation, rocker bottom
4	7	Joint Fusions and Sclerosis	-	-	Rocker bottom, bony prominences, pronation

Staging for Charcot Foot from Sella and Barrette
Adapted from Sella and Barette [7]. A simple classification of patient with different stages of CN with associated symptomatology and clinical, radiographic, and nuclear scan findings. This study involved a group of 51 feet with diagnosed CN

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