Charcot joint

Case contributed by Dr Alborz Jahangiri

Presentation

Ankle pain in a diabetic patient for 8 months. No history of trauma.

Patient Data

Age: 60 years
Gender: Male
X-ray

Loss of ankle mortice congruence and disorganization/degeneration, florid osteophytes and subchondral sclerosis in the ankle joint, multiple bone fragments/debris within the tibio-talar joint and erosion around the joint space. There is also flattening of the talar dome and sclerosis.

There is loss of congruence in the Subtalar joints and narrowing of the intertarsal joints with associated sclerosis and dorsal osteophytes.

There is no osteoporosis.

Case Discussion

Charcot joint is a progressive/destructive joint disorder in patients with abnormal pain sensation and proprioception. Diabetes is the most common etiology.

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Case information

rID: 46938
Published: 25th Jul 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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