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Diabetic neuroosteoarthropathy: an interdisciplinary expert consensus

https://doi.org/10.14341/DM13428

Abstract

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

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

About the Authors

V. B. Bregovskii
City Consultative and Diagnostic Center №1, Regional Endocrinology Center
Russian Federation

Vadim B. Bregovskii, MD, PhD 

Saint Petersburg


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



G. Y. Strakhova
Pirogov Russian National Research Medical University
Russian Federation

Galina Y. Strakhova, MD, PhD 

1 Ostrovityanova street, 117513 Moscow 


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



S. A. Osnach
Yudin City Clinical Hospital
Russian Federation

Stanislav A. Osnach, MD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



V. N. Khramilin
Pirogov Russian National Research Medical University
Russian Federation

Vladimir N. Khramilin, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



G. R. Galstyan
Endocrinology Research Centre
Russian Federation

Gagik R. Galstyan, MD, PhD, Professor 

Scopus Author ID: 6701438348 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



A. Y. Tokmakova
Endocrinology Research Centre
Russian Federation

Alla Y. Tokmakova, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



E. Y. Komelyagina
Endocrinology Dispensary
Russian Federation

Elena Y. Komelyagina, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



V. G. Protsko
Yudin City Clinical Hospital
Russian Federation

Viktor G. Protsko, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



A. L. Rybinskaya
Yudin City Clinical Hospital
Russian Federation

Anastasiya L. Rybinskaya, MD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



A. K. Mursalov
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Russian Federation

Anatolii K. Mursalov, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



G. P. Ivanov
National Ilizarov Medical Research Centre for Traumatology and Ortopaedics
Russian Federation

Gennadii P. Ivanov, MD, PhD 

Kurgan


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



I. A. Pakhomov
Novosibirsk Research Institute of Traumatology and Orthopedics named after Ya.L. Tsivyan
Russian Federation

Igor' A. Pakhomov, MD, PhD, Professor 

Novosibirsk


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



V. N. Obolenskii
Pirogov Russian National Research Medical University
Russian Federation

Vladimir N. Obolenskii, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



E. P. Sorokin
Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden ; Pavlov First Saint Petersburg State Medical University
Russian Federation

Evgenii P. Sorokin, MD, PhD 

Saint Petersburg


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



V. V. Kuznetsov
Yudin City Clinical Hospital
Russian Federation

Vasilii V. Kuznetsov, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



S. I. Kireev
Saratov National Research State University named after N.G. Chernyshevsky
Russian Federation

Sergei I. Kireev, MD, PhD, Associate Professor 

Saratov


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



I. V. Gur'eva
Federal Bureau of Medical and Social Expertise ; Russian Medical Academy of Continuous Professional Education
Russian Federation

Irina V. Gur'eva, MD, PhD, Professor 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



V. A. Mitish
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation

Valerii A. Mitish, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



Y. S. Paskhalova
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation

Yuliya S. Paskhalova, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



P. S. Bardyugov
Endocrinology Research Centre
Russian Federation

Petr S. Bardyugov, MD, PhD 

Moscow


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



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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. Diabetic neuroosteoarthropathy: an interdisciplinary expert consensus. Diabetes mellitus. 2026;29(1):7-19. (In Russ.) https://doi.org/10.14341/DM13428

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