CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 240-245
DOI: 10.1055/s-0042-1758879
Case Report

A Rare Charcot Neuro-Osteoarthropathy of Hip with an Uncommon Cause

Chandran Vijay
1   Depertment of Radiology, Apollo Speciality Hospital, Padma Complex, Anna Salai, Chennai, Tamil Nadu
,
Sivaramalingam Geethapriya
1   Depertment of Radiology, Apollo Speciality Hospital, Padma Complex, Anna Salai, Chennai, Tamil Nadu
,
Jayaraj Govindaraj
1   Depertment of Radiology, Apollo Speciality Hospital, Padma Complex, Anna Salai, Chennai, Tamil Nadu
,
1   Depertment of Radiology, Apollo Speciality Hospital, Padma Complex, Anna Salai, Chennai, Tamil Nadu
› Author Affiliations

Abstract

Neuro-osteoarthropathy often called as Charcot joint results from decreased sensory innervations of the involved joint resulting in severely damaged and disrupted joints and involvement of adjacent soft tissues. Charcot joint is characterized by the “6Ds,” which are i) distended joints, ii) density increase, iii) debris production, iv) dislocation, v) disorganization, and vi) destruction. Hip joint involvement is very rare probably because of rich nerve supply compared with other peripheral joints. To minimize the joint deformity and loss of function, early diagnosis is of great importance in which radiological imaging plays a major role.



Publication History

Article published online:
26 December 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Munde DD. Sampada Karne, Nakul Shah et al. Charcot joints: a case study. Indian J Appl Res 2013; 3 (01) 129-130
  • 2 Viens NA, Watters TS, Vinson EN, Brigman BE. Case report: neuropathic arthropathy of the hip as a sequela of undiagnosed tertiary syphilis. Clin Orthop Relat Res 2010; 468 (11) 3126-3131
  • 3 Cavalli G, Praderio L. Charcot's arthropathy of the hip. J Rheumatol 2013; 40 (10) 1770
  • 4 Yochum T, Rowe L. Neuropathic arthropathy. In Essentials of Skeletal Radiology. 2nd ed.. Yochum T, Rowe L. eds. Baltimore, MD: William & Wilkins; 1987: 842-849
  • 5 Sella EJ, Barrette C. Staging of Charcot neuroarthropathy along the medial column of the foot in the diabetic patient. J Foot Ankle Surg 1999; 38 (01) 34-40
  • 6 Rosskopf AB, Loupatatzis C, Pfirrmann CWA, Böni T, Berli MC. The Charcot foot: a pictorial review. Insights Imaging 2019; 10 (01) 77
  • 7 Ergen FB, Sanverdi SE, Oznur A. Charcot foot in diabetes and an update on imaging. Diabet Foot Ankle 2013;4
  • 8 Loredo R, Rahal A, Garcia G, Metter D. Imaging of the diabetic foot diagnostic dilemmas. Foot Ankle Spec 2010; 3 (05) 249-264
  • 9 Gunay C, Atalar E, Ataoglu B. An unusual presentation of Charcot arthropathy caused by syringomyelia mimicking a soft tissue tumor. Case Reports in Orthopedics 2014 DOI: 10.1155/2014/760861
  • 10 Ertugrul BM, Lipsky BA, Savk O. Osteomyelitis or Charcot neuro-osteoarthropathy? Differentiating these disorders in diabetic patients with a foot problem. Diabet Foot Ankle 2013; 4: 21855
  • 11 Martín Noguerol T, Luna Alcalá A, Beltrán LS, Gómez Cabrera M, Broncano Cabrero J, Vilanova JC. Advanced MR imaging techniques for differentiation of neuropathic arthropathy and osteomyelitis in the diabetic foot. Radiographics 2017; 37 (04) 1161-1180
  • 12 Rosskopf AB, Loupatatzis C, Pfirrmann CWA. et al. The Charcot foot: a pictorial review. Insights Imaging 2019; 10: 77
  • 13 Tan PL, Teh J. MRI of the diabetic foot: differentiation of infection from neuropathic change. Br J Radiol 2007; 80 (959) 939-948
  • 14 Ortega RR. Septic Arthritis: a real emergency. Radiological manifestations. Advantages and disadvantages associated to the different types of tests based on images. European Congress of Radiology. 2014: 11
  • 15 Chang EY, Chen KC, Huang BK, Kavanaugh A. Adult inflammatory arthritides: what the radiologist should know. Radiographics 2016; 36 (06) 1849-1870
  • 16 Ollivier L, Vanel D, Leclère J. Imaging of chondrosarcomas. Cancer Imaging 2003; 4 (01) 36-38
  • 17 Burton MR, Miller DC, Ramachandran V. et al. Retroperitoneal schwannoma associated with neuropathic pain and electromyographic and nerve conduction abnormalities: A case report. Interdiscip Neurosurg 2019; 18: 100530
  • 18 Masding M, Spruce M, Coppini D. et al. A retrospective case study of Charcot osteoarthropathy. The Diabetic Charcot Foot 2007; 10 (04) 178-184