Issue No 35.
Diabetic neuropathic arthropathy – Charcot neuropathic arthropathy (CNA): a case report
Sarah MacLeod, Saint James School of Medicine Anguilla Campus
Daniel Ivankovich M.D., Orthopedic Surgeon
Westlake Hospital, Orthopedics
Charcot neuropathic arthropathy (CNA) is a complication of long-standing diabetes mellitus associated with significant morbidity and mortality. It is often difficult to differentiate CNA from osteomyelitis, making it a true diagnostic challenge. Unfortunately, there are no universally agreed-upon diagnostic imaging guidelines, and traditional imaging typically used to evaluate the diabetic foot is of limited value. Because the most important prognostic factor is early and accurate diagnosis and treatment, we must explore other diagnostic imaging modalities. We presented a case of CNA complicated by osteomyelitis, in whom diagnosis and treatment was delayed, eventually requiring bilateral amputation. The case emphasizes the importance of additional imaging studies in patients with diabetes and osteomyelitis.
Key words: Charcot neuropathic arthropathy, diabetic neuropathic arthropathy, osteomyelitis, diagnosis, diagnostic imaging