An unusual presentation of acute onset Charcot arthropathy

Journal of Surgical Case Reports
Ammar Al-NajjarRichard Downing

Abstract

Charcot arthropathy is a progressive condition primarily affecting the lower limbs in patients with diabetes mellitus. It is a rare complication of diabetic neuropathy and if left untreated can lead to severe limb destruction necessitating major amputation. Here, we report the case of a 41-year-old female who presented with rapidly progressive Charcot foot over a 10-day period, necessitating open reduction and internal fixation of Lisfranc-type fracture dislocations. Her presentation with a rapidly progressing red, swollen foot with a blister on the plantar aspect prompted initial treatment on the basis of a diabetic foot infection. The report will therefore serve as a useful reminder to maintain a high index of suspicion for Charcot foot, which may present in an atypical manner.

References

Jul 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Mary K HastingsDavid R Sinacore
Jun 3, 2018·Journal of Diabetes and Its Complications·Rasmus Bo Jansen, Ole Lander Svendsen
Jan 22, 2019·EFORT Open Reviews·Sohail YousafAlex Wee

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Methods Mentioned

BETA
amputations
X-ray

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