Charcot foot

Case contributed by Dr Henry Knipe

Presentation

Deformity and swelling.

Patient Data

Age: 55 years
Gender: Female
ct

Midfoot disorganization, sclerosis and fragmentation of the midfoot tarsals. Destruction and subluxation at the tarsometatarsal joint, severe medially with a presumed chronic rupture of the Lisfranc ligament. 

Further destructive changes at the second and third metatarsophalangeal joints with subchondral osteopenia. 

The bones are generally osteopenic. 

Case Discussion

These are typical findings of Charcot foot, of which the patient had a history of in the contralateral foot secondary to diabetes. 

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