Charcot joint - foot

Case contributed by Dr Bruno Di Muzio

Presentation

Diabetes mellitus. Ulcer on the left foot.

Patient Data

Age: 60-year-old
Gender: Male
X-ray

Left foot radiographs

There is destruction and deformity of the tarsal bones characterised by sclerosis, joint space narrowing, cortical irregularities, and loose bodies. Lisfranc injury involving the second to fifth tarsometatarsal joints with lateral dislocation. Cortical thickening and sclerosis involving the proximal second to fifth metatarsal bones. Local soft tissue oedema.

Case Discussion

Findings are consistent with Charcot joint, although it is difficult to exclude associated osteomyelitis.

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Case information

rID: 45065
Case created: 13th May 2016
Last edited: 15th May 2016
Tag: rmh
Inclusion in quiz mode: Included

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