Presentation
Diabetic patient.
Patient Data
Age: Elderly.
Gender: Female
From the case:
Charcot joint - spine
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Frontal

A focal thoracic kyphosis is present due to severe destructure change involving adjacent vertebra with anterolisthesis.
From the case:
Charcot joint - spine
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Coronal bone window

The patient went on to have surgical fusion and biopsy.
Case Discussion
This is a case of histologically proven Charcot joint in a diabetic patient. Note the distinctive difference in bone density above and below the Charcot joint on plain radiographs.