Peculiarities of MRI in patients with Charcot’s foot in the active stage

Abstract

Purpose of the study: Explore the role of MRI in the diagnosis of Charcot foot in patients with active diabetic osteoarthropathy. Material and methods research: 35 patients (prospectively) with type 2 diabetes mellitus and Charcot foot in the active phase were examined in the period 2022-2023 at the Acad. Y.H. Turakulova, in the department reconstructive plastic surgery of complications of diabetes mellitus. The control group consisted of 20 people with type 2 diabetes mellitus without Charcot foot in compensation. Of the 35 patients, there were 28 men and 7 women. Average age: men was 64.12 ± 5.8 years, women - 62.15 ± 4.6 years. The duration of type 2 diabetes mellitus ranged from 17 to 20 years. Research methods included: biochemical, hormonal and instrumental: ECG, MRI of the feet, ultrasound of the internal organs, DECA of the body, fundus. Research results: All patients were in a state of carbohydrate metabolism decompensation. In addition, pathological changes in bone tissue increased as the average values ​​of glycated hemoglobin increased. As the level of carbohydrate metabolism decompensation increased, the degree of bone tissue recovery decreased (inverse correlation). Conclusions: 1. An early symptom on MRI with Charcot foot was the presence ofconcavity of the articular surface of the talus against the background of sclerosis in the talonavicular joint. 2. Pathological changes in the bone tissue increased as the average values ​​of the level of glycated hemoglobin increased. 3. A direct correlation was found between the MRI parameters in Charcot foot and the HbA1c level: as the level of carbohydrate metabolism decompensation increased, the degree of bone tissue recovery decreased.