Charcot joint

Case contributed by Dr Bahman Rasuli

Presentation

An old woman with insulin dependent type 2 diabet mellitus and lower limb neuropathy presented to the emergency department with fever and erythema of the left foot.

Patient Data

Age: 55
Gender: Female
MRI

Periarticular generalized osseous destruction involving mid foot with reduced tarsometatarsal joint space and tarsal and metatarsal marrow edema with preservation of normal fat signal intensity in the subcutaneous tissue .  

No associated sinus tracks, collections to suggest any secondary infection is seen in the midfoot region. 

A skin ulcer is seen at the plantar surface of the first metatarsophalangeal joint.

Case Discussion

The charcot neuroarthropathy is indistinguishable from the early stages of osteomyelitis. The clinical signs of inflammation should help the final diagnosis. Associated sinus track and disproportionately more soft tissue edema points towards active inflammation. 

PlayAdd to Share

Case information

rID: 63917
Published: 26th Oct 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.