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Diabetic Exam

Foot Deformities

November 28th, 2019

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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