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2013, Number 2

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Revista Cubana de Ortopedia y Traumatología 2013; 27 (2)

Charcot neuropathic arthopathy in a child

Marrero RLO, Rondón GOV, Silverio CAD, Rodríguez RDR

Language: Spanish
References: 33
Page: 219-229
PDF size: 227.29 Kb.


ABSTRACT

Charcot neuropathic arthropathy is very rare in children. The present paper is mainly aimed at presenting the treatment applied to a child suffering from this disease. A black six-year-old school boy is brought to Frank País International Scientific Orthopedic Complex with enlargement and deformity of his left ankle and foot of more than six months' evolution. Clinical laboratory results (all within normal ranges) and imaging findings (radiography, computerized axial tomography and bone scintigraphy) are provided. The treatment indicated (conservative and surgical) is described. Six months after diagnosis the ankle had been remodeled and the ulcers on the left foot had healed. However, a year later a similar situation presented, now on the right foot, as a result of a trauma in school. The case presented, unusual as it is due to the patient's age at diagnosis, illustrates the difficulty and complexity of the treatment of Charcot neuropathic arthropathy, and the need for permanent, active follow-up.


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