Charcot joint - foot

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Diabetes mellitus. Ulcer on the left foot.

Patient Data

Age: 60 years
Gender: Male

Left foot radiographs

x-ray

There is destruction and deformity of the tarsal bones characterized 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 edema.

Case Discussion

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

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