UMEM Educational Pearls

Category: Orthopedics

Title: Charcot Joints

Keywords: Charcot Joints (PubMed Search)

Posted: 8/17/2013 by Michael Bond, MD
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Charcot Joint - Neuropathic arthropathy

A Charcot Joint is a progressive degeneration of a weight bearing joint that is normally seen in patients that have decreased peripheral sensation and proprioception.

Conditions associated with Charcot Joints are:
    •    Alcohol neuropathy
    •    Cerebral palsy
    •    Diabetes mellitus
    •    Spinal Cord Injury
    •    Strokes
    •    Syphilis (tabes dorsalis)

The foot is most commonly affected and radiographs can also show bony destruction, bone resorption, and gross deformity. The onset of pain and deformity is typically insidious.  Charcot joints are often associated with ulcerations, secondary osteomyelitis, and can lead to amputations.

Charcot Joint

It is important to recognize the presence of a Charcot Joint so that the patient can be referred to Orthopaedics and treated (often with cast immobilization) to prevent further destruction of the joint.