Charcot joint - foot

Case contributed by Bahij El khayat
Diagnosis almost certain

Presentation

Foot swelling and gait disturbance with pain in a diabetic patient.

Patient Data

Age: 60 years
Gender: Male
mri

Diffuse superficial and deep soft tissue edema.
Diffuse deformity and destructive changes of the tarsal bones (navicular bone, cuboid, and cuneiforms) with evidence of diffuse marrow edema and subcortical cystic changes. Deformity of the metatarsal bases with subcortical cystic changes and marrow edema. Subluxation of the tarso-metatarsal joints.

Case Discussion

Charcot joint is a degenerative-destructive joint disorder in patients with impaired sensation, usually secondary to diabetes mellitus.

It is usually characterized by bone deformity, destruction, and joint malalignment.

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