{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T22:00:32Z","timestamp":1773180032764,"version":"3.50.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":31,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Charcot arthropathy is a progressive condition primarily affecting the lower limbs in patients with diabetes mellitus. It is a rare complication of diabetic neuropathy and if left untreated can lead to severe limb destruction necessitating major amputation. Here, we report the case of a 41-year-old female who presented with rapidly progressive Charcot foot over a 10-day period, necessitating open reduction and internal fixation of Lisfranc-type fracture dislocations. Her presentation with a rapidly progressing red, swollen foot with a blister on the plantar aspect prompted initial treatment on the basis of a diabetic foot infection. The report will therefore serve as a useful reminder to maintain a high index of suspicion for Charcot foot, which may present in an atypical manner.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa128","type":"journal-article","created":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T19:12:14Z","timestamp":1586805134000},"source":"Crossref","is-referenced-by-count":2,"title":["An unusual presentation of acute onset Charcot arthropathy"],"prefix":"10.1093","volume":"2020","author":[{"given":"Ammar","family":"Al-Najjar","sequence":"first","affiliation":[{"name":"Vascular Surgery Unit, Worcestershire Royal Hospital, Worcester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Al Shakarchi","sequence":"first","affiliation":[{"name":"Vascular Surgery Unit, Worcestershire Royal Hospital, Worcester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melwyn","family":"Pereira","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Alexandra Hospital, Redditch, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Downing","sequence":"first","affiliation":[{"name":"Vascular Surgery Unit, Worcestershire Royal Hospital, Worcester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"key":"2020060114201935300_ref1","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1302\/2058-5241.3.180003","article-title":"The acute Charcot foot in diabetics","volume":"3","author":"Yousaf","year":"2018","journal-title":"EFORT Open Rev"},{"key":"2020060114201935300_ref2","author":"Shah","year":"2018"},{"key":"2020060114201935300_ref3","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1016\/j.jdiacomp.2018.04.010","article-title":"A review of bone metabolism and developments in medical treatment of the diabetic Charcot foot","volume":"32","author":"Jansen","year":"2018","journal-title":"J Diabetes Complications"},{"key":"2020060114201935300_ref4","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.2106\/JBJS.L.00250","article-title":"Progression of foot deformity in Charcot neuropathic osteoarthropathy","volume":"95","author":"Hastings","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"2020060114201935300_ref5","volume-title":"Charcot Neuropathic Osteoarthropathy (Charcot Joint)","author":"Harris","year":"2020"},{"key":"2020060114201935300_ref6","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1002\/art.1780330316","article-title":"Rapidly progressive Charcot arthropathy following minor joint trauma in patients with diabetic neuropathy","volume":"33","author":"Slowman-Kovacs","year":"1990","journal-title":"Arthritis Rheum"},{"key":"2020060114201935300_ref7","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/1757-1146-6-30","article-title":"Developing an evidence-based clinical pathway for the assessment, diagnosis and management of acute Charcot neuro-arthropathy: a systematic review","volume":"6","author":"Milne","year":"2013","journal-title":"J Foot Ankle Res"},{"key":"2020060114201935300_ref8","doi-asserted-by":"crossref","first-page":"114","DOI":"10.17161\/kjm.v11i4.8709","article-title":"Initial diagnosis and management for acute Charcot neuroarthropathy","volume":"11","author":"Vopat","year":"2018","journal-title":"Kans J Med"},{"key":"2020060114201935300_ref9","first-page":"529A","article-title":"Anatomical patterns of bone and joint destruction in neuropathic diabetics","volume":"40","author":"Sanders","year":"1991","journal-title":"Diabetes"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/5\/rjaa128\/33330281\/rjaa128.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/5\/rjaa128\/33330281\/rjaa128.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T18:20:41Z","timestamp":1591035641000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa128\/5849214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,1]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa128","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,5]]},"published":{"date-parts":[[2020,5,1]]},"article-number":"rjaa128"}}