Acute Clinical Presentation of Charcot Arthropathy
Acute Clinical Presentation of Charcot Arthropathy Acute Clinical Presentation of Charcot Arthropathy
Case #5: Ankle radiographic findings “This examination is markedly abnormal. There are fractures of both the medial and lateral malleoli c lateral and anterior displacement of the talar dome relative to the distal tibia. …there is marked irregularity of the distal tibial articular surface with extensive areas of lytic destruction and sclerosis of the tibia. Increased density involving the talar dome and distal tibia is also present.” “Though these findings could be the result of a neuropathic joint, osteomyelitis cannot be excluded…”
Case #5: Rx (1) Pt instructed to NOT bear weight on R LE until further f/u. Podiatry/ortho. consult written by PCP. Pt seen the following day by podiatry, and remained in w/c and cam walker. Pt’s desire was to have surgery to be able to walk again. Cardiology clearance and vascular status studies (AVI/TBI and arterial flow studies) were necessary prior to surgery. About 3 weeks p initial radiograph findings of bimalleolar fxr, external fixation was performed to R ankle.
- 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 58 and 59: Case #5 Pt called PT 6 days prior t
- 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 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: Ankle radiographic findings<br />
“This examination is markedly abnormal. There are fractures <strong>of</strong> both the<br />
medial and lateral malleoli c lateral and anterior displacement <strong>of</strong> the talar<br />
dome relative to the distal tibia.<br />
…there is marked irregularity <strong>of</strong> the distal tibial articular surface with<br />
extensive areas <strong>of</strong> lytic destruction and sclerosis <strong>of</strong> the tibia.<br />
Increased density involving the talar dome and distal tibia is also present.”<br />
“Though these findings could be the result <strong>of</strong> a neuropathic joint, osteomyelitis<br />
cannot be excluded…”
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