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Orthop Surg ; 14(7): 1541-1544, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35587533

RESUMO

Charcot arthropathy is an insidious condition affecting the lower limbs of diabetic patients. It is a complication of diabetic neuropathy resulting from subsequent Wallerian degeneration of the nerves. This complication may eventually lead to limb amputation and a poor patient prognosis if not diagnosed and treated successfully. Herein, we report the case of a 73-year-old female who presented with rapidly progressive bilateral Charcot foot over a 5-week period, necessitating an exostectomy on the mid foot, specifically on the cuboid bone and the navicular cuneiform joint. Her presentation with rapidly progressing foot ulcers on the plantar aspect prompted initial treatment based on osteomyelitis. The report will therefore serve as a useful guide on how to properly treat Charcot foot, which may present in an atypical manner.


Assuntos
Artropatia Neurogênica , Pé Diabético , Osteomielite , Idoso , Amputação Cirúrgica/efeitos adversos , Artropatia Neurogênica/diagnóstico por imagem , Artropatia Neurogênica/etiologia , Artropatia Neurogênica/cirurgia , Pé Diabético/complicações , Feminino , Humanos , Extremidade Inferior , Osteomielite/complicações
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