Imaging of the spectrum of bony injuries in the diabetic foot: a case series with emphasis on non-Charcot fractures

Mautone, Marcela; Naidoo, Parm; Zhou, Kevin

doi:10.1259/bjrcr.20170026

Cited by 3 publications

(3 citation statements)

References 31 publications

(50 reference statements)

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“…The incidence rate of peripheral neuropathy in the same population is 9–32% [ 10 ]. Patients with severe peripheral polyneuropathy have a higher risk of developing Charcot foot, with an estimated prevalence of 13% [ 11 ]. However, this condition may be underestimated because it is difficult to diagnose.…”

Section: Discussionmentioning

confidence: 99%

A Red, Swollen, and Warm Foot in a Kidney–Pancreas-Transplanted Type 1 Diabetic Patient: Is It Always Charcot Foot or Bone and Joint Infection? A Case Report

Memaj,

Correia,

Davat

et al. 2023

Am J Case Rep

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Patient: Male, 47-year-old Final Diagnosis: Acute Charcot foot Symptoms: Red foot • right foot pain Clinical Procedure: — Specialty: Endocrinology and Metabolic Objective: Unusual clinical course Background: Acute Charcot foot can be difficult to diagnose, especially because of other alternate diagnoses that can mimic this condition, particularly stress fracture and acute bone and joint infections, which are 2 conditions that require immediate management. Here, we present the case of a patient who received kidney-pancreas-transplantation for type 1 diabetes mellitus, who consulted for right foot pain after walking. Case Report: Our patient was a 47-year-old man who had benefited from a kidney-pancreas transplantation in 2014 for type 1 diabetes and terminal kidney failure and was recently followed for a right foot plantar ulcer that was fully healed. He later presented for right foot pain after walking. Clinical examination showed a red, swollen, and warm foot. Blood test results were unremarkable. Imaging (X-ray/MRI) revealed features compatible with acute Charcot foot. The management consisted of prompt right-foot offloading followed by physiotherapy and adapted orthopedic insoles. Conclusions: This case shows the successful treatment of an active phase of Charcot foot, which avoided the classic transition to chronic Charcot foot with severe osteoarticular destruction. Arguments were developed to rule out other possible diagnoses. The underlying mechanisms of Charcot foot in diabetic patients are related to the neurological and micro-vascular complications induced by poor glycemic control, but the mechanisms are unclear. This case report may help clinicians to better understand and consider another less known and less frequent diagnosis when faced with these clinical features.

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Section: Discussionmentioning

confidence: 99%

A Red, Swollen, and Warm Foot in a Kidney–Pancreas-Transplanted Type 1 Diabetic Patient: Is It Always Charcot Foot or Bone and Joint Infection? A Case Report

Memaj,

Correia,

Davat

et al. 2023

Am J Case Rep

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“…These fractures are typically beak-shaped or present as proximally displaced extra-articular avulsed fracture fragments. 18 Distraction and fragmentation of the fracture fragments are commonly encountered on sequential imaging. 19 Screw fixation is typically recommended for type 1 and 2 fractures.…”

Section: Achilles Tendon Avulsion Fracturesmentioning

confidence: 99%

“…Such fractures occur without a history of significant trauma or overuse activity. These fractures are typically beak-shaped or present as proximally displaced extra-articular avulsed fracture fragments 18. Distraction and fragmentation of the fracture fragments are commonly encountered on sequential imaging 19…”

Section: Avulsion Fractures At Level Of Tendon Attachmentsmentioning

confidence: 99%

Beyond the Malleoli: Part 2—Avulsion Fractures of the Hindfoot

Kani

Davis

et al. 2023

Contemporary Diagnostic Radiology

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Avulsion fractures of the ankle and hindfoot are a diverse group of injuries occurring at level of retinacular, capsuloligamentous, and tendinous attachments. Accurate identification of avulsion fractures and their origins is based on understanding the relevant soft-tissue anatomy. In the first part of this two-series article, avulsion fractures at level of the ankle retinacula and distal tibiofibular syndesmosis were reviewed. The second part of this series of two articles is dedicated to reviewing the relevant anatomy, injury mechanisms, classification, nomenclature, imaging, treatment, and complications of hindfoot avulsion fractures occurring at level of the lateral ankle ligament complex (distally), posterior talar process, tendinous attachments, and miscellaneous softtissue attachments not otherwise specified.

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The first probable evidence of leprosy in a male individual (17th-19th century AD) unearthed in Northern Portugal (Travanca, Santa Maria da Feira)

Melo

Matos

Santos

et al. 2021

International Journal of Paleopathology

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Imaging of the spectrum of bony injuries in the diabetic foot: a case series with emphasis on non-Charcot fractures

Cited by 3 publications

References 31 publications

A Red, Swollen, and Warm Foot in a Kidney–Pancreas-Transplanted Type 1 Diabetic Patient: Is It Always Charcot Foot or Bone and Joint Infection? A Case Report

A Red, Swollen, and Warm Foot in a Kidney–Pancreas-Transplanted Type 1 Diabetic Patient: Is It Always Charcot Foot or Bone and Joint Infection? A Case Report

Beyond the Malleoli: Part 2—Avulsion Fractures of the Hindfoot

The first probable evidence of leprosy in a male individual (17th-19th century AD) unearthed in Northern Portugal (Travanca, Santa Maria da Feira)

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