diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM13428diaendo-13452Research ArticleДоказательная диабетологияEvidence Based DiabetologyДиабетическая нейроостеоартропатия: Междисциплинарный консенсус экспертовDiabetic neuroosteoarthropathy: an interdisciplinary expert consensushttps://orcid.org/0000-0002-5285-8303БреговскийВ. Б.BregovskiiV. B.

Бреговский Вадим Борисович, д.м.н. 

Санкт-Петербург

Vadim B. Bregovskii, MD, PhD 

Saint Petersburg

podiatr@inbox.ruhttps://orcid.org/0009-0000-1263-8026СтраховаГ. Ю.StrakhovaG. Y.

Страхова Галина Юрьевна, к.м.н. 

117513, г. Москва, ул. Островитянова, д. 1 

Galina Y. Strakhova, MD, PhD 

1 Ostrovityanova street, 117513 Moscow 

footdoctor@yandex.ruhttps://orcid.org/0000-0003-4943-3440ОсначС. А.OsnachS. A.

Оснач Станислав Александрович 

Москва

Stanislav A. Osnach, MD 

Moscow

stas-osnach@yandex.ruhttps://orcid.org/0000-0002-5161-7743ХрамилинВ. Н.KhramilinV. N.

Храмилин Владимир Николаевич, к.м.н. 

Москва

Vladimir N. Khramilin, MD, PhD 

Moscow

Khramilin_RGMU@mail.ruhttps://orcid.org/0000-0001-6581-4521ГалстянГ. Р.GalstyanG. R.

Галстян Гагик Радикович, д.м.н., профессор, член-корр РАН 

Scopus Author ID: 6701438348 

Москва

Gagik R. Galstyan, MD, PhD, Professor 

Scopus Author ID: 6701438348 

Moscow

gagik964@gmail.comhttps://orcid.org/0000-0003-2474-9924ТокмаковаА. Ю.TokmakovaA. Y.

Токмакова Алла Юрьевна, д.м.н.  

Москва

Alla Y. Tokmakova, MD, PhD 

Moscow

alla-tokmakova@yandex.ruhttps://orcid.org/0000-0003-0798-0139КомелягинаЕ. Ю.KomelyaginaE. Y.

Комелягина Елена Юрьевна, д.м.н.  

Москва

Elena Y. Komelyagina, PhD 

Moscow

komelelena@yandex.ruhttps://orcid.org/0000-0002-5077-2186ПроцкоВ. Г.ProtskoV. G.

Процко Виктор Геннадьевич, д.м.н. 

Москва

Viktor G. Protsko, MD, PhD 

Moscow

89035586679@mail.ruhttps://orcid.org/0000-0002-5547-4524РыбинскаяА. Л.RybinskayaA. L.

Рыбинская Анастасия Леонидовна 

Москва

Anastasiya L. Rybinskaya, MD 

Moscow

arybinskay@mail.ruhttps://orcid.org/0000-0002-3829-5524МурсаловА. К.MursalovA. K.

Мурсалов Анатолий Камалович, к.м.н. 

Москва

Anatolii K. Mursalov, MD, PhD 

Moscow

tamerlanmursalov@gmail.comhttps://orcid.org/0009-0006-0848-5390ИвановГ. П.IvanovG. P.

Иванов Геннадий Петрович, к.м.н.  

Курган

Gennadii P. Ivanov, MD, PhD 

Kurgan

ortho5@ilizarov.ruhttps://orcid.org/0000-0003-1501-0677ПахомовИ. А.PakhomovI. A.

Пахомов Игорь Анатольевич, д.м.н.  

Новосибирск

Igor' A. Pakhomov, MD, PhD, Professor 

Novosibirsk

pahomovigor@inbox.ruhttps://orcid.org/0000-0003-1276-5484ОболенскийВ. Н.ObolenskiiV. N.

Оболенский Владимир Николаевич, к.м.н. 

Москва

Vladimir N. Obolenskii, MD, PhD 

Moscow

gkb13@mail.ruhttps://orcid.org/0000-0002-9948-9015СорокинЕ. П.SorokinE. P.

Сорокин Евгений Петрович, к.м.н. 

Санкт-Петербург

Evgenii P. Sorokin, MD, PhD 

Saint Petersburg

sorokinortoped@gmail.comhttps://orcid.org/0000-0001-6287-8132КузнецовВ. В.KuznetsovV. V.

Кузнецов Василий Викторович, к.м.н. 

Москва

Vasilii V. Kuznetsov, MD, PhD 

Moscow

vkuznecovniito@gmail.comhttps://orcid.org/0000-0002-3318-5633КиреевС. И.KireevS. I.

Киреев Сергей Иванович, д.м.н. 

Саратов

Sergei I. Kireev, MD, PhD, Associate Professor 

Saratov

kireevsi@rambler.ruhttps://orcid.org/0000-0003-2284-2893ГурьеваИ. В.Gur'evaI. V.

Гурьева Ирина Владимировна, д.м.н. 

Москва

Irina V. Gur'eva, MD, PhD, Professor 

Moscow

igurieva@mail.ruhttps://orcid.org/0000-0001-6411-0709МитишВ. А.MitishV. A.

Митиш Валерий Афанасьевич, к.м.н. 

Autor ID: 756438 

Москва

Valerii A. Mitish, MD, PhD 

Moscow

Mitish01@mail.ruhttps://orcid.org/0000-0003-1215-8035ПасхаловаЮ. С.PaskhalovaY. S.

Пасхалова Юлия Сергеевна, к.м.н. 

Москва

Yuliya S. Paskhalova, MD, PhD 

Moscow

9057176757@mail.ruhttps://orcid.org/0000-0002-5771-0973БардюговП. С.BardyugovP. S.

Бардюгов Петр Сергеевич, к.м.н. 

Москва

Petr S. Bardyugov, MD, PhD 

Moscow

petrbardiugov@gmail.comГородской консультативно-диагностический центр №1, Региональный эндокринологический центрРоссияCity Consultative and Diagnostic Center №1, Regional Endocrinology CenterRussian FederationРоссийский национальный исследовательский медицинский университет им. Н.И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian FederationГородская клиническая больница им. С.С. ЮдинаРоссияYudin City Clinical HospitalRussian FederationНациональный медицинский исследовательский центр эндокринологии им. академика И.И. ДедоваРоссияEndocrinology Research CentreRussian FederationЭндокринологический диспансерРоссияEndocrinology DispensaryRussian FederationНациональный медицинский исследовательский центр травматологии и ортопедии им. Н.Н. ПриороваРоссияN.N. Priorov National Medical Research Center of Traumatology and OrthopedicsRussian FederationНациональный медицинский исследовательский центр травматологии и ортопедии им. академика Г.А. ИлизароваРоссияNational Ilizarov Medical Research Centre for Traumatology and OrtopaedicsRussian FederationНовосибирский научно-исследовательский институт травматологии и ортопедии имени Я.Л. ЦивьянаРоссияNovosibirsk Research Institute of Traumatology and Orthopedics named after Ya.L. TsivyanRussian FederationНациональный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена ; Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. ПавловаРоссияRussian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden ; Pavlov First Saint Petersburg State Medical UniversityRussian FederationСаратовский национальный исследовательский государственный университет им. Н.Г. ЧернышевскогоРоссияSaratov National Research State University named after N.G. ChernyshevskyRussian FederationФедеральное бюро медико-социальной экспертизы ; Российская медицинская академия непрерывного профессионального образованияРоссияFederal Bureau of Medical and Social Expertise ; Russian Medical Academy of Continuous Professional EducationRussian FederationНациональный медицинский исследовательский центр хирургии им. А.В. ВишневскогоРоссияNational Medical Research Center of Surgery named after A. VishnevskyRussian Federation202611022026291719Copyright © Бреговский В.Б., Страхова Г.Ю., Оснач С.А., Храмилин В.Н., Галстян Г.Р., Токмакова А.Ю., Комелягина Е.Ю., Процко В.Г., Рыбинская А.Л., Мурсалов А.К., Иванов Г.П., Пахомов И.А., Оболенский В.Н., Сорокин Е.П., Кузнецов В.В., Киреев С.И., Гурьева И.В., Митиш В.А., Пасхалова Ю.С., Бардюгов П.С., 20262026Бреговский В.Б., Страхова Г.Ю., Оснач С.А., Храмилин В.Н., Галстян Г.Р., Токмакова А.Ю., Комелягина Е.Ю., Процко В.Г., Рыбинская А.Л., Мурсалов А.К., Иванов Г.П., Пахомов И.А., Оболенский В.Н., Сорокин Е.П., Кузнецов В.В., Киреев С.И., Гурьева И.В., Митиш В.А., Пасхалова Ю.С., Бардюгов П.С.Bregovskii V.B., Strakhova G.Y., Osnach S.A., Khramilin V.N., Galstyan G.R., Tokmakova A.Y., Komelyagina E.Y., Protsko V.G., Rybinskaya A.L., Mursalov A.K., Ivanov G.P., Pakhomov I.A., Obolenskii V.N., Sorokin E.P., Kuznetsov V.V., Kireev S.I., Gur'eva I.V., Mitish V.A., Paskhalova Y.S., Bardyugov P.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/13452ЦЕЛЬ РАБОТЫ

ЦЕЛЬ РАБОТЫ. Анализ и описание существующих методов диагностики и лечения диабетической нейроостеоартропатии (ДНОАП).

МАТЕРИАЛ И МЕТОДЫ

МАТЕРИАЛ И МЕТОДЫ. Проведен поиск и анализ клинических исследований, метаанализов, систематических обзоров и рекомендаций по диагностике и лечению ДНОАП. Поиск публикаций осуществлялся в базах данных MEDLINE, ELibrary, PubMed, Web of Science, Google Scholar, Clinical key. Глубина поиска — 20 лет; также включались публикации, имеющие исторический интерес.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. Всего в настоящий обзор включено 165 публикаций. В данном обзоре освещены особенности клинической картины и течения ДНОАП, представлены современные представления о причинах развития, классификации, критериях диагностики и лечении данного заболевания.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Использование предложенных алгоритмов позволит объективизировать диагноз и улучшить качество оказываемой медицинской помощи пациентам с ДНОАП.

OBJECTIVE

OBJECTIVE. To analyze and describe existing methods for the diagnosis and treatment of diabetic neuroosteoarthropathy.

MATERIALS AND METHODS

MATERIALS AND METHODS. A search and analysis of clinical trials, meta-analyses, systematic reviews and clinical guidelines on the diagnosis and treatment of Charcot neuroarthropathy was conducted. The literature search was carried out across the MEDLINE, ELibrary, PubMed, Web of Science, Google Scholar, and Clinical Key databases. The search covered a 20-year period; publications of historical significance were also included.

RESULTS

RESULTS. A total of 165 publications were incorporated into this review. The paper outlines key features of the clinical presentation and course of diabetic neuroosteoarthropathy, and summarizes current scientific understanding of its etiology, classification, diagnostic criteria and treatment options.

CONCLUSION

CONCLUSION. Implementation of the proposed algorithms will help to objectify the diagnosis and improve the quality of medical care provided to patients with Charcot neuroarthropathy.

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The authors declare that there are no conflicts of interest present.