Acute Clinical Presentation of Charcot Arthropathy
Acute Clinical Presentation of Charcot Arthropathy Acute Clinical Presentation of Charcot Arthropathy
Clinical signs and symptoms of Charcot foot Differential diagnosis: • Cellulitis • Deep vein thrombosis (DVT) • Osteomyelitis Misdiagnosis can lead to: • Unnecessary incision and drainage • Inappropriate treatment c antimicrobial therapy • Continued WB on affected extremity, additional bony destruction and foot deformity
Joints affected 1)Tarsometatarsal joint (TMT or Lis-Franc’s joint) – about 60% 2)Metatarsophalangeal joint (MTP) – about 30% 3)Talocrural joint (ankle mortise) – about 10%
- Page 1 and 2: Clinical Presentation of Acute Char
- Page 3 and 4: disease Etiology of Charcot joint d
- Page 5: Clinical signs and symptoms of Char
- 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
<strong>Clinical</strong> signs and symptoms <strong>of</strong> <strong>Charcot</strong> foot<br />
Differential diagnosis:<br />
• Cellulitis<br />
• Deep vein thrombosis (DVT)<br />
• Osteomyelitis<br />
Misdiagnosis can lead to:<br />
• Unnecessary incision and drainage<br />
• Inappropriate treatment c antimicrobial therapy<br />
• Continued WB on affected extremity, additional bony destruction<br />
and foot deformity
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