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Case of bilateral hip joint Charcot arthropathy in a paediatric patient
  1. Atmananda Hegde1,
  2. Shruthi H Kamath2,
  3. Prajwal Prabhudev Mane1 and
  4. Chethan B Shetty1
  1. 1Department of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Mangalore, Karnataka, India
  2. 2Kasturba Medical College Mangalore, Manipal Academy of Higher Education(MAHE), Manipal, Mangalore, Karnataka, India
  1. Correspondence to Dr Prajwal Prabhudev Mane; pjlmane{at}


An adolescent girl came with swelling of both thighs with difficulty in walking for a few months. Based on clinical, and radiological evaluation and nerve conduction studies, she was diagnosed to be having bilateral hips Charcot’s arthropathy due to hereditary sensory autonomic neuropathy type 4. Other common causes of Charcot arthropathy were ruled out. The patient was conservatively managed and parents were educated about preventive measures. Through this case report, we want to highlight the myriad number of manifestations and clinical presentations of a child presenting with hereditary sensory autonomic neuropathy type 4.

  • Genetics
  • Neuromuscular disease
  • Neurology
  • Home care nursing
  • Orthopaedic and trauma surgery

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  • Contributors All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by AH, SHK, CBS and PPM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.