Endgames
Spot Diagnosis
A swollen painful foot
BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5418 (Published 02 November 2016) Cite this as: BMJ 2016;355:i5418
- Joseph Dalby Sinnott, core surgical trainee1,
- David C Howlett, consultant radiologist2
- 1Department of Surgery, East Sussex Hospitals NHS Trust, Eastbourne, UK
- 2Department of Radiology, East Sussex Hospitals NHS Trust
- Correspondence to: J D Sinnott j.d.sinnott{at}gmail.com
A 59 year old woman with diabetes mellitus presented to her general practitioner with a swollen, erythematous, and painful left foot. Her symptoms had been worsening over several months. There was no history of a recent trauma. A plain radiograph was obtained (fig 1⇓). What does this show?
Fig 1 Plain x ray of a left foot
Answer
Neuropathic osteoarthropathy, sometimes known as a Charcot foot.
Discussion
The findings on the radiograph are consistent with advanced neuropathic osteoarthropathy, …
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