Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Reach Us +443308186230


The Potential of Color Doppler Ultrasound Efficiency in Monitoring Diabetic Nonulcerated Neuroarthropathic (Charcot) Foot | OMICS International
ISSN: 2329-910X
Clinical Research on Foot & Ankle
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on Medical, Pharma, Engineering, Science, Technology and Business

The Potential of Color Doppler Ultrasound Efficiency in Monitoring Diabetic Nonulcerated Neuroarthropathic (Charcot) Foot

Rodica Perciun1,2*
1Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania
2Centre of Diabetes and Metabolic Diseases, Bucharest, Romania
Corresponding Author : Rodica Perciun
Institute of Diabetes
Nutrition and Metabolic Diseases
Bucharest, Romania
Tel: +40 728542548
Received February 06, 2015; Accepted February 08, 2015; Published February 15, 2015
Citation: Perciun R (2015) The Potential of Color Doppler Ultrasound Efficiency in Monitoring Diabetic Nonulcerated Neuroarthropathic (Charcot) Foot . Clin Res Foot Ankle 3:I102. doi:10.4172/2329-910X.1000i102
Copyright: ©2015 Perciun R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Related article at
DownloadPubmed DownloadScholar Google

Visit for more related articles at Clinical Research on Foot & Ankle

Clinical Images
A 30 year-old female having type 1 diabetes for 23 years, noticed progressively, for four months, inflammatory mild painful signs on her right foot. During the interview she recalled a post-traumatic fracture of her ipsilateral 5th toe. We documented an acute nonulcerated neuroarthropathic foot (Eichenholtz I, Brodski 1) but no occlusive arterial disease. The patient agreed offloading the foot only for three months (removable total contact cast). Before offloading, physical signs revealed midfoot are inflammatory swelling, ectatic veins and no plantar arches, still keeping after, a higher temperature without visible edema (Figure 1).
Plain radiographs (weight-bearing) detected: soft-tissue swelling, hardly delineate tarsal-metatarsals, cortical erosions, subchondral cysts, misalignment of tarsals, Lisfranc dislocation, collaps of the arches, some bony debris and vascular calcifications (Figure 2).
MRI showed: vascular pannus (periarticular soft tisue edema), tarsals mainly cuneiforms’ cortical erosions, small fractures, diffuse and patchy bony marrow edema (Figure 3). Both radiographs and MRI recorded no notable regression after offloading. The Doppler Ultrasound (DU) initially confirmed clinical inflammation, by hyper vascularised periarticular soft tissues, small effusions, also revealing tarsals’ periosteal discontinuities as naviculocuneiform area shows (Figure 4). After offloading, soft tissues spurious vascularity, notably regressed despite the remaining bony vascularised erosions as some tarsals depicted (Figure 5).
The literature stipulates that clinical resolution of inflammation and MRI marrow edema regression are consistent with healing. Firstly achieved, clinical regression of inflammation does not totally match with contemporary more dynamic DU, even less with the MRI in this not fully treated case. DU could become a useful tool between clinic and MRI (which can’t be performed out of charge or as frequently as needed in many countries). Finding a correspondence between clinic and each imaging tool, the therapeutic response would become measurable in anticipating the appropriate moment of weight-bearing for avoiding relapse [1-3].
class="ref_width" style="padding-left:35px;">


  1. value="1" id="Reference_Titile_Link">Chantelau EA, Richter A (2013) The acute diabetic Charcot foot managed on the basis of magnetic resonance imaging-a review of 71 cases. Swiss Med Wkly.

  2. value="2" id="Reference_Titile_Link">Chantelau EA, Grutzner G (2014) Is the Eichenholtz classification still valid for the diabetic Charcot foot? Swiss Med Wkly.

  3. value="3" id="Reference_Titile_Link">Molines E, Darmon P, Raccah D (2010) Charcot foot: Newest findings onits pathophysiology, diagnosis and treatment. Diabetes Metab 35: 251-255.

Post your comment

Share This Article

Article Usage

  • Total views: 13236
  • [From(publication date):
    May-2015 - Mar 04, 2024]
  • Breakdown by view type
  • HTML page views : 8874
  • PDF downloads : 4362