Long-standing type II diabetes mellitus. Known neuropathic foot deformity. Previous right foot surgery for osteomyelitis. Cutaneous fistula at the medial mid-/hindfoot.
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MRI showed a (previously known) Charcot arthropathy with destruction of the cuneiform bones, the metatarsal bases, and parts of the cuboid and talus. There was excessive scar formation and oedema. After contrast injection an abscess cavity could be seen at the tarso-metaatarsal junction. Bone necrosis at the talar head and the displaced lateral cuneiform. (Fig. 4).