| Sub-title | |
| Authors | S Vella M J Cachia |
| Abstract | Charcot neuroarthropathy is a progressive degenerative condition characterized by joint dislocation, sublaxation and pathological fractures of the foot of neuropathic patients, often resulting in a debilitating deformitiy. In developed countries, the condition is most commonly encountered in diabetic individuals (incidence 0.1-0.5%) and results in a foot that is at risk for ulceration and amputation. Acute Charcot neuroarthropathy can be misdiagnosed as cellulitis, osteomyelitis, inflammatory arthropathy, fracture or deep vein thrombosis. We present a series of initially misdiagnosed cases of Charcot neuroarthropathy, highlighting the need for a high index of suspicion. This may allow the early institution of appropriate treatment, namely immobilization, bedrest, offloading and possibly pamidronate, if one is to reduce significant morbidity and severe deformities. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | 18 Supplement |
| Page | |
| Date | 01/12/2006 |
| Link to journal | |
| Key words | charcot neuroarthropathy, diabetes, misdiagnosis |