Answer
Any condition that causes sensory or autonomic neuropathy can lead to a Charcot joint. Charcot arthropathy occurs as a complication of diabetes, syphilis, chronic alcoholism, leprosy, meningomyelocele, spinal cord injury, syringomyelia, renal dialysis, and congenital insensitivity to pain. Diabetes is considered to be the most common cause of Charcot arthropathy. [6] There is also evidence for a relationship between Charcot arthropathy and rheumatoid arthritis. [7]
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Media Gallery
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Neuropathic arthropathy (Charcot joint). Neuropathic arthropathy of shoulder in patient with syringomyelia. Note destruction of articular surface, dislocation, and debris, which are pathognomonic for neuropathic joint.
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Ankle fracture in 65-year-old diabetic patient.
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Ankle fracture fixed by using augmented fixation technique.
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Midfoot acute Charcot arthropathy.
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Charcot arthropathy. Follow-up at 6 months after internal fixation with "beaming" screws.
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Severe fracture dislocation of ankle.
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Hindfoot stabilized with hindfoot arthrodesis intramedullary rod.
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