Charcot joint

Case contributed by Dr Aditya Shetty

Presentation

h/o swelling of the right foot; h/o diabetes.

Patient Data

Age: 60
Gender: Male
X-ray

Xray findings:

  • destruction of calcaneum 
  • dislocation of talo-navicular joint
  • resorption of proximal tarsal bones
  • disorganisation of tarsal joints
  • soft tissue swelling
  • arterial calcification

Case Discussion

Charcot joint involving foot

  •  a progressive degenerative / destructive joint disorder in patients with abnormal pain sensation and proprioception.

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: 28759
Case created: 10th Apr 2014
Last edited: 9th Jan 2017
Tag: shetty
Inclusion in quiz mode: Included

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