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Cardiovascular disease
1%
20/3512
Hypertension
0%
11/3512
Diabetes mellitus
96%
3387/3512
Spinal stenosis
Rheumatoid arthritis
2%
59/3512
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This patient is presenting with Charcot arthropathy, a known complication of diabetes mellitus. Clinical photograph and radiographs show the characteristic appearance of the Charcot foot with complete arch collapse and multi-joint end stage degenerative joint disease through the entire hind, mid, and fore-foot. As described by Guyton and Saltzman, there is a complex pathophysiology by which diabetes contributes to the foot deformities seen in Charcot arthropathy. This pathophysiology includes alterations in peripheral nerves, bones/soft tissue, gait kinematics, microscopic/macroscopic vascularity, immune system, and mechanisms of wound healing. To treat, one must address the mechanical and biologic aspects of the disease.
3.8
(16)
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