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Orthopaedics Arthritis dd0311fe

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:

A
Charcot's joint
B
Clutton's joint
C
Osteoarthritis
D
Rheumatoid arthritis
High-Yield Explanation
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

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