A 60 year old man with history of long standing diabetes mellitus presents with painless, swollen right ankle joint. X-rays of the ankle show destroyed joint with large number of loose bodies. The most probable diagnosis is:
Charcot's joint
Clutton's joint
Osteoarthritis
Rheumatoid arthritis
Ans. A. Charcot's jointa. It is progressive destructive arthritis arising from loss of pain sensation and proprioceptionb. Joints lack normal reflex safeguard against abnormal stress injury.c. Causes- DM, Tabes dorsalis, Leprosy, syringomyelia, Myelomeningocele, Chronic alcoholism
Arthritis