Acute Clinical Presentation of Charcot Arthropathy
Acute Clinical Presentation of Charcot Arthropathy Acute Clinical Presentation of Charcot Arthropathy
Case #5 Pt called PT 6 days prior to being seen in PT (for routine DM foot care visit) reporting inability to bear weight on R foot. (This was 13 days after starting treatment for cellulitis.) PT consulted c PCP, who recommended that pt go through walk-in/ER. This information was conveyed to pt by phone. Pt went to ACL ER c/o R leg warmth, pain, redness. She reported inability to stand on R foot. She had just completed course of Bactrim the day prior. No X-rays were taken. CBC and blood culture were ordered. Pt given IV antibiotics, treated daily for 3 days.
Case #5: PT appointment Pt came to PT 6 days later in w/c saying that she was having trouble/pain bearing weight on R foot, even a few steps, so she had started using her w/c. Appt. was for DM foot care and f/u of chronic LE edema. “I can’t even step on it.” 4/10 pain at rest, 10/10 pain c WB.
- Page 7 and 8: Joints affected 1)Tarsometatarsal j
- Page 9 and 10: ‘Normal’ foot radiographs: Late
- Page 11 and 12: Charcot foot: Loss of arch and acqu
- Page 13: These are the X-ray X films of the
- Page 18 and 19: Charcot treatment plan • Recogniz
- Page 20 and 21: Cam/fracture walker
- Page 22 and 23: CROW (Charcot Restraint Orthotic Wa
- Page 24 and 25: Selected ACL cases November 2006 th
- Page 26 and 27: Case #1 Initial films: Ankle and ch
- Page 28 and 29: Case #1: AP View: Healing 2 nd meta
- Page 30 and 31: Case #1: Lateral view: TMT joint de
- Page 32 and 33: Case #2 72 y/o female already going
- Page 34 and 35: Case #2: Lateral view of L foot.
- Page 36 and 37: Case#2 R foot AP and Oblique views
- Page 38 and 39: Case #2: Radiographic findings R fo
- Page 40 and 41: Case #3 46 y/o male already under c
- Page 42 and 43: Case #3: L foot Oblique view
- Page 44 and 45: Case #3: Radiographic Findings “Q
- Page 46 and 47: Case #4 Case #4 61 y/o male had bee
- Page 48 and 49: Case #4: R ankle films
- Page 50 and 51: Case #4: R foot AP view
- Page 52 and 53: Case #4 Radiographic findings “Di
- Page 54: Case #5 60 y/o female c PMH of bein
- Page 60 and 61: Case #5: PT evaluation Girth measur
- Page 62 and 63: Case #5: R foot lateral radiograph
- Page 64 and 65: Case #5: R ankle radiographs
- Page 66 and 67: Case #5: Ankle radiographic finding
- Page 68 and 69: Case #5: external fixation
- Page 70 and 71: Case #5: Rx Infection in R leg desp
- Page 72 and 73: Case #6: L foot AP/oblique views
- Page 74 and 75: Case #6: R foot AP/oblique views
- Page 76 and 77: Case #6: Radiographic findings “M
- Page 78 and 79: Clinical signs and symptoms of Char
- Page 80: Treatment progression (podiatry)
Case #5: PT appointment<br />
Pt came to PT 6 days later in w/c saying that she was having trouble/pain<br />
bearing weight on R foot, even a few steps, so she had started using her<br />
w/c. Appt. was for DM foot care and f/u <strong>of</strong> chronic LE edema.<br />
“I can’t even step on it.” 4/10 pain at rest, 10/10 pain c WB.
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