Diabetic Exam
 

Foot Deformities

 
 
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Charcot Foot

    • Look For

      Progressive destruction of bones and joints of the foot with fracture, dislocation and subluxation.
    • Inflammation (early) - erythematous, swollen, warm, tender foot
    • Deformity - most commonly manifesting as midfoot collapse (rocker-bottom foot)
    • Ulceration - overlying the deformity
    • Significance

    • Secondary to peripheral neuropathy with inciting trauma. Two-thirds of patients with Charcot foot suffer from diabetes.

Claw Toe

    • Look For

    • Flexion of the proximal and distal interphalangeal joints of the great toe with metatarsophalangeal extension.
    • Associated With

    • Rheumatoid Arthritis
    • Diabetes
    • Neuromuscular disorders
 
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