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

Gender: Male
MRI

Case Discussion

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).

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Case information

rID: 13861
Case created: 25th May 2011
Last edited: 12th Oct 2015
Inclusion in quiz mode: Included

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