Diabetic foot

Case contributed by Dr Roberto Schubert

Presentation

Long-standing type II diabetes mellitus. Known neuropathic foot deformity. Previous right foot surgery for osteomyelitis. Cutaneous fistula at the medial mid-/hindfoot.

Patient Data

Age: Adult
Gender: Male
MRI

Destruction of the cuneiform bones, the metatarsal bases, and parts of the cuboid and talus. There were excessive scar formation and edema. An abscess cavity could be seen at the tarso-metatarsal junction in the post-contrast acquisition. Bone necrosis at the talar head and the displaced lateral cuneiform.

Case Discussion

All of the features seen are attributed to a neuropathic Charcot type deformity.

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Case information

rID: 13861
Published: 25th May 2011
Last edited: 4th Sep 2020
Inclusion in quiz mode: Included

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