Charcot joint

Case contributed by Aditya Shetty
Diagnosis certain

Presentation

h/o swelling of the right foot; h/o diabetes.

Patient Data

Age: 60
Gender: Male
x-ray

Xray findings:

  • destruction of calcaneum 
  • dislocation of talo-navicular joint
  • resorption of proximal tarsal bones
  • disorganization of tarsal joints
  • soft tissue swelling
  • arterial calcification

Case Discussion

Charcot joint involving foot

  •  a progressive degenerative / destructive joint disorder in patients with abnormal pain sensation and proprioception.

Mnemonic - 6 Ds of charcot joint

  • dense bones (subchondral sclerosis)
  • degeneration 
  • destruction of articular cartilage
  • deformity (pencil-point deformity of metatarsal heads)
  • debris (loose bodies)
  • dislocation

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