Charcot joint (ankle)

Case contributed by Dr Ian Bickle

Presentation

Diabetic with deformed foot. Longstanding. Charcot?

Patient Data

Age: 55 years
Gender: Male
X-ray

Gross deformity of the ankle joint with dense subchondral sclerosis.

The joint space is obilterated and there is collapse of the talar dome.  Resultant subluxation.

Small loose bodies.

Disuse osteopenia of the metatarsals.

Case Discussion

A typical example a severe form of Charcot joint.  The ankle is one of the commonest sites.

Although a wide number of causes can be responsible diabetes is now the commonest cause, the end result of chronic diabetic neuropathy. 

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Case information

rID: 61020
Published: 14th Jun 2018
Last edited: 14th Jun 2018
Tag: ripas2
Inclusion in quiz mode: Included
Institution: Rotherham Foundation Hospital Trust

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