What is the role of imaging studies in the diagnosis of Charcot arthropathy?

Updated: Mar 23, 2020
  • Author: Mrugeshkumar Shah, MD, MPH, MS; Chief Editor: Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS  more...
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Whenever possible, radiographs should be obtained with the patient bearing weight.

Bone scanning (not always ordered) may help differentiate between Charcot arthropathy and osteomyelitis. An indium-111 WBC scan often is used because it is more specific than the technetium-99m scan.

Magnetic resonance imaging (MRI) [11] allows anatomic imaging of the area and may help distinguish between osteomyelitis and Charcot arthropathy.

Doppler ultrasonography is used to rule out deep vein thrombosis.

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