[Diagnostic for Charcot foot]

Early recognition of Charcot foot can save a long period of suffering for the patient, high doctor and hospital costs and ultimately amputation.

This article aims to raise awareness of the diagnostics of Charcot foot also known as diabetic neuropathic osteoarthropathy (DNOAP) and the possible differential diagnostic options (e.g. diabetic foot, erysipelas and peripheral arterial occlusive disease).

Clinical diagnostic pathways and classifications are presented and the resulting treatment options are discussed.

In recent years new technologies for wound treatment and interventional radiological optimization of vessels have been developed. Many promising surgical options are available for stabilizing and reconstructimg a plantigrade foot.

Treatment of Charcot foot should be based on a structured diagnosis and classification. In addition to conservative treatment new surgical options are also available.