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Charcot Foot
 

• Differential diagnosis

• TB

• Osteomyelitis

• Gout
   

• More than 1/2 have presenting complaint of foot pain despite neurologic impairment
   

• Most common secondary to diabetes

• Rarely syphilis
   

• Sclerosis or lysis near or away from ulceration
   

• Foot frequently shows ulceration
   

• Most difficult differential is from osteomyelitis

• Osteomyelitis usually first involves metaphysis of MT joint
   

• Charcot usually involves MTP joint with astonishing joint destruction on initial radiograph.

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