Charcot foot

Case contributed by Dr Benoudina Samir

Presentation

Red, hot, swollen left foot. Minor Pain – No trauma. Poorly controlled type 2 diabetes.

Patient Data

Age: 50 years
Gender: Male
X-ray

AP and lateral plain foot radiographs in a diabetic patient with chronic neuropathic arthropathy. Destruction of the tarsometatarsal (Lisfranc) joint. Periosteal reaction and new bone formation at the 1st metatarsal which remains congruent (No subluxation).Surrounding soft tissue swelling is present.

Loose bodies on the lateral view.

All these features are consistent with Charcot foot.

 

Case Discussion

Charcot joint involving foot is a progressive degenerative/destructive joint disorder in patients with abnormal pain sensation and proprioception. It is most commonly secondary to diabetes.

Mnemonic - 6 Ds of charcot joint

  • dense bones (subchondral sclerosis)
  • degeneration 
  • destruction of articular cartilage
  • deformity (pencil-point deformity of metatarsal heads)
  • debris (loose bodies)
  • dislocation

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Case information

rID: 53971
Case created: 16th Jun 2017
Last edited: 25th Jun 2017
Inclusion in quiz mode: Included

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