Trophic Changes
Trophic Changes
1.Trophic Changes In The Skin & Appendages:
|
Dry/ Rough/ Cold Skin
|
|
Pigmentation
|
|
Local Cyanosis/Local Oedema
|
|
Hypohydrosis (Lack Of Sweating)
|
|
Hypotrichosis(Fall Of Hairs)
|
|
Brittle Nails
|
2.Trophic Ulcers:
Trophic Ulcer- Usually Present Over The Heel Or Ball Of The Great Toe
Sites Examined-
|
On The Lateral Malleolus
|
|
Back Of The Heel Of Foot
|
|
Shoulder Girdles
|
|
Over The Sacrum (Classical Bed Sore)
|
3.Charcot Joint / Neuropathic Joint:
This Is A Chronic, Progressive Degenerative Arthropathy.
Characterised By–
|
Huge Swelling Of Knee (Most Common Site), Hip, Ankle Or Shoulder Joints.
|
|
Painless( Most Characteristic)
|
|
Disorganised, Deformed And Destroyed Joint.
|
|
Increased Mobility Of Joint And Thus Easy Dislocation Is Possible
|
|
Loose Bodies May Be Palpated In The Joint Cavity And Crepitus May Be Felt
|
Causes Of Trophic Ulcer In Feet/ Charcot Joint-
|
Leprosy
|
|
Diabetes Mellitus
|
|
Syringomyelia
|
|
Tabes Dorsalis
|
|
Sometimes After Repeated Intra-Articular Injection Of Steroid
|
Charcot Joint Is The Complication Of Chronic Loss Of Proprioception.
Pathophysiology Of Development Of Charcot Joint-
Loss Of Proprioception → Recurrent Trauma → Damage Got Unnoticed By The Neuropathic Patient → Progressive Destruction, Degeneration And Disorganisation Of The Joint.
Radiological Features Of Charcot Joint-
|
Osteopenia
|
|
Sharp Cortical Margin
|
|
Severe Disruption & Disorganisation Of The Joint
|
|
Inappropriate New Bone Formation
|
Management Of Charcot Joint-
|
Treatment Of Underlying Disorder
|
|
Stabilisation Of The Joint Is Done By Braces & Splints.
|
|
In Case Of Diabetes Mellitus, Prevent Weight Bearing In The Foot For 2 Months To Prevent Severe Diseases (Trophic Ulcer).
|
|
Lastly Fusion Of A Very Unstable Joint May Be Done
|
|
Thank you Reader
|
|
Your Like Motivate Us To Post New And Unique Articles So Don’t Forget To Like, Comment and Share This Post. LIKE US On Our Facebook Page To Get Latest Updates.
|
|
Copyright © 2017 by edumedweb.com
|
|
All rights reserved. No part of this post/article may be reproduced, distributed, or transmitted in any form or by any means, including copying, photography, Screenshot or other electronic or mechanical methods, without the prior written permission of the Admin. Otherwise strict legal action taken against that person.
For permission requests, write to the Admin
|
Clinical Examination Of Nervous System
Important Signs in ENT for NEET PG & AIIMS PG
Physical Examination of the Abdomen
About Author
