Acute Clinical Presentation of Charcot Arthropathy

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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 1 and 2:
Clinical Presentation of Acute Char
Page 3 and 4:
disease Etiology of Charcot joint d
Page 5 and 6:
Clinical signs and symptoms of Char
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 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)
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Acute Clinical Presentation of Charcot Arthropathy

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