AAAAA
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Charcot's joint is one of the worst X-ray you can see but the patient does not complaint too much pain.
Charcot's joint is not due to fracture but underlying diabetics.
Diabetics foot should be checked when patient comes in for routine check-up before it is too late.
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| AAAAA
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Charcot's joint in late stage can present with loose bodies due to total destruction of the bony structure due to neuropathic problems.
Besides DM, syphilis, alcoholic and any autonomic sympathetic nerve damage can actually cause the destruction of the bony structure in most weight-bearing bones .
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| som
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given the age i go with OA
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| AAAAA
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Destroyed joint with a lot of loose bodies----OA? -------> What is the radiographic picture of OA?----------> osteopenia with almosts no destruction at the joint space but narrowing of the joint space and irregularities !
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| babli
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correct ans is 1.
Neuropathic joint disease (Charcot's joint) is a progressive destructive arthritis associated with loss of pain sensation, proprioception, or both. In addition, normal muscular reflexes that modulate joint movement are decreased. Without these protective mechanisms, joints are subjected to repeated trauma, resulting in progressive cartilage and bone damage. Neuropathic arthropathy was first described by Jean-Martin Charcot in 1868 in patients with tabes dorsalis. The term Charcot joint is commonly used interchangeably with neuropathic joint. Today, diabetes mellitus is the most frequent cause of neuropathic joint disease. A variety of other disorders are associated with neuropathic arthritis including leprosy, yaws, syringomyelia, meningomyelocoele, congenital indifference to pain, peroneal muscular atrophy (Charcot-Marie-Tooth disease), and amyloidosis. An arthritis resembling neuropathic joint disease is seen in patients who have received frequent intraarticular glucocorticoid injections into a weight-bearing joint and in patients with calcium pyrophosphate dihydrate crystal deposition disease. The distribution of joint involvement depends on the underlying neurologic disorder In tabes dorsalis, knees, hips, and ankles are most commonly affected; in syringomyelia, the glenohumeral joint, elbow, and wrist; and in diabetes mellitus, the tarsal and tarsometatarsal joints.
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