Charcot foot

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Diabetic patient with a swollen, deformed foot. History of distal amputation.

Patient Data

Age: 45 years
Gender: Male
x-ray

Significant deformity with fracture-dislocation in the tarsometatarsal and metatarsophalangeal joints and evidence of distal amputation of the first and fourth fingers can be seen.

Evidence of destruction is evident in midtarsal bones.

Heterotopic calcification is seen in the soft tissue adjacent to the bones.

Calcaneal spurs are present at the plantar and posterior aspects.

Significant soft tissue swelling is observed.

Case Discussion

Charcot foot refers to a progressive degenerative/destructive joint disorder in patients with abnormal pain sensation and proprioception. 

The most common cause of Charcot foot is diabetes mellitus.

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