Charcot arthropathy

Question 1

chronic destructive disease of the bone and joints in patients with […]

Answer 1

chronic destructive disease of the bone and joints in patients with neuropathy.

Question 2

M/c underlying disease

Answer 2

diabetes

Question 3

Main differential to rule out

Answer 3

Osteomyelitis

Question 4

Features

6Ds:

[…]
[…]
[…]
[…] bones
[…]

Classically, it affects the […] joints.

Answer 4

Charcot’s Arthropathy presents with the 6Ds:

Destruction
Deformity
Degeneration
Dense bones
Debris

Classically, it affects the tarsometatarsal joints.

Question 5

Management

Conservative:
Prolonged […] (offloading)
[…]

Medications
[…]
[…] pain agents
Topical […]

Surgical
Resetion of bony […]

Deformity correction

[…]

Answer 5

Management

Conservative:
Prolonged immobilisation (offloading)
Orthotics

Medications
Bisphosphonates
Neuropathic pain agents
Topical anesthetics

Surgical
Resetion of bony prominences

Deformity correction

Amputation