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The International Journal of Lower Extremity Wounds
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*Diabetes Type 1
*Joint Disorders
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Charcot Neuroarthropathy: An Unusual Case and a Review of the Literature

Eleanna V. Salgami, MD, PhD

University Department of Medicine, Manchester Royal Infirmary, Manchester, UK, Eleanna.Salgami{at}manchester.ac.uk

Frank L. Bowling, BSc (HONS)

University Department of Medicine, Manchester Royal Infirmary, Manchester, UK

Richard W. Whitehouse, MD, FRCR

Radiology Department, Manchester Royal Infirmary, Manchester, UK

Andrew J. M. Boulton, MD, FRCP

University Department of Medicine, Manchester Royal Infirmary, Manchester, UK, Division of Endocrinology, Metabolism and Diabetes, University of Miami School of Medicine, Miami, FL

Charcot neuroarthropathy is a devastating consequence of diabetes, requiring early identification and immediate management. A differentiation should be made from osteomyelitis and other pathologies. The authors describe a case of Charcot foot with radiological findings of complete fragmentation of the calcaneum. Further investigation with magnetic resonance and white cell-labeled imaging revealed osteomyelitis. Below-knee amputation was the only therapeutic option in this hindfoot collapse complicated with osteomyelitis.

Key Words: charcot foot • diagnosis • differential diagnosis • management • osteomyelitis

The International Journal of Lower Extremity Wounds, Vol. 5, No. 3, 207-212 (2006)
DOI: 10.1177/1534734606291868
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