Wednesday, June 6, 2012

Diabetic foot

This patient came in for check up on their diabetic foot. I came in casted to below the knee with a window cut out of the medial side due to an ulcer. It was not fun unearthing the leg. As soon as I removed the window the ulcer stench hit my nose.
Thank goodness for gloves.
The first view is the AP shot. As you can see the foot is greatly deformed out to the lateral aspect. This could be due to neuropathuc arthropathy also known as "Charcot foot". That refers to the break joint of a weightbearing joint i.e. the ankle. This looked like one of the more severe cases.
The second view was a lateral attempt.
The patient stated that the leg itself was pretty numb so any pain wasn't noted.



Information found on the diabetic foot was found on wikipedia.




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