Presentation
Recurrent foot ulcers with foot deformity in a setting of poorly controlled diabetes mellites - type 2.
Patient Data
Age: 50 years
Gender: Male
From the case:
Charcot foot
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Destruction of the tarsometatarsal (Lisfranc) joints with periosteal reaction, new bone formation, and associated lateral subluxation of the forefoot consistent with Charcot foot. A well-circumscribed intramedullary predominantly sclerotic lesion in the distal tibia most likely bone infarction.
Case Discussion
Charcot arthropathy is a progressive destructive joint disorder due to loss of afferent sensory nerve function that results in a decreased or loss of proprioception. The most common etiology of Charcot arthropathy involving the ankle and foot is diabetes mellitus, as in this case.
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