Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankle
Permanent deformity and disability can occur in diabetic Charcot arthropathy (neuropathic arthropathy) if not diagnosed and treated promptly. We report two patients with uncontrolled diabetes mellitus in whom the diagnosis of ankle neuro-arthropathy was delayed by up to six months, with misdiagnoses...
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doaj-c291d762fe0140b48c9627c173b1976f2020-11-24T22:14:32ZengIbrahim Medical CollegeIMC Journal of Medical Science2519-17212519-15862010-07-01428386Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankleChowdhury Iqbal Mahmud 0Department of Orthopaedics, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), 122, Kazi Nazrul Islam Avenue, Dhaka-1000, BangladeshPermanent deformity and disability can occur in diabetic Charcot arthropathy (neuropathic arthropathy) if not diagnosed and treated promptly. We report two patients with uncontrolled diabetes mellitus in whom the diagnosis of ankle neuro-arthropathy was delayed by up to six months, with misdiagnoses including ankle arthritis, osteomyelitis and cellulitis. The clinical scenario and appearances of the ankle and foot were typical of Charcot arthropathy. Unfortunately, both of them sustained ankle fracture-dislocation without a history of significant trauma. Both the patients were treated by ankle arthrodesis (fusion of joint). Prevention and early diagnosis of diabetic foot is the key to avoid the development of complications. In diabetic patients, a higher index of suspicion for the possibility of Charcot’s disease is needed. Ibrahim Med. Coll. J. 2010; 4(2): 83-86http://www.imcjms.com/registration/journal_full_text/198Diabetes mellitusCharcot arthropathyankle fracture-dislocationarthrodesis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chowdhury Iqbal Mahmud |
spellingShingle |
Chowdhury Iqbal Mahmud Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankle IMC Journal of Medical Science Diabetes mellitus Charcot arthropathy ankle fracture-dislocation arthrodesis |
author_facet |
Chowdhury Iqbal Mahmud |
author_sort |
Chowdhury Iqbal Mahmud |
title |
Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankle |
title_short |
Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankle |
title_full |
Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankle |
title_fullStr |
Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankle |
title_full_unstemmed |
Consequences of misdiagnosis of diabetic Charcot arthropathy of the ankle |
title_sort |
consequences of misdiagnosis of diabetic charcot arthropathy of the ankle |
publisher |
Ibrahim Medical College |
series |
IMC Journal of Medical Science |
issn |
2519-1721 2519-1586 |
publishDate |
2010-07-01 |
description |
Permanent deformity and disability can occur in diabetic Charcot arthropathy (neuropathic arthropathy) if not diagnosed and treated promptly. We report two patients with uncontrolled diabetes mellitus in whom the diagnosis of ankle neuro-arthropathy was delayed by up to six months, with misdiagnoses including ankle arthritis, osteomyelitis and cellulitis. The clinical scenario and appearances of the ankle and foot were typical of Charcot arthropathy. Unfortunately, both of them sustained ankle fracture-dislocation without a history of significant trauma. Both the patients were treated by ankle arthrodesis (fusion of joint). Prevention and early diagnosis of diabetic foot is the key to avoid the development of complications. In diabetic patients, a higher index of suspicion for the possibility of Charcot’s disease is needed.
Ibrahim Med. Coll. J. 2010; 4(2): 83-86 |
topic |
Diabetes mellitus Charcot arthropathy ankle fracture-dislocation arthrodesis |
url |
http://www.imcjms.com/registration/journal_full_text/198 |
work_keys_str_mv |
AT chowdhuryiqbalmahmud consequencesofmisdiagnosisofdiabeticcharcotarthropathyoftheankle |
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1725798460017344512 |