Difficulty Walking
This 54-year-old male felt a snapping sensation in his right foot while trying on a shoe. He had difficulty walking and his right ankle became swollen. Past medical history is significant for noninsulin-dependent diabetes, hypertension, and hypercholesterolemia.
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Oblique view.
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Lateral view.
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A-P view.
Based on the history and radiographs, what is your diagnosis?
View the correct answer.
<p>The patient has a right ankle Charcot's arthropathy. Charcot's changes frequently occur in diabetic patients, due to the peripheral neuropathy that so often affects the lower extremities. The area of the foot most commonly involved is the midfoot, with rapid deterioration of the talonavicular (as is the case in this patient), calcaneocuboid, or tarsometatarsal joints.</p>
This 54-year-old male felt a snapping sensation in his right foot while trying on a shoe. He had difficulty walking and his right ankle became swollen. Past medical history is significant for noninsulin-dependent diabetes, hypertension, and hypercholesterolemia.
(Enlarge Image)
Oblique view.
(Enlarge Image)
Lateral view.
(Enlarge Image)
A-P view.
Based on the history and radiographs, what is your diagnosis?
The patient has a right ankle Charcot's arthropathy. Charcot's changes frequently occur in diabetic patients, due to the peripheral neuropathy that so often affects the lower extremities. The area of the foot most commonly involved is the midfoot, with rapid deterioration of the talonavicular (as is the case in this patient), calcaneocuboid, or tarsometatarsal joints.
View the correct answer.
<p>The patient has a right ankle Charcot's arthropathy. Charcot's changes frequently occur in diabetic patients, due to the peripheral neuropathy that so often affects the lower extremities. The area of the foot most commonly involved is the midfoot, with rapid deterioration of the talonavicular (as is the case in this patient), calcaneocuboid, or tarsometatarsal joints.</p>