Presentation
Diabetes mellitus. Ulcer on the left foot.
Patient Data
Age: 60 years
Gender: Male
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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.