Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is Charcot's arthropathy?

1. A condition involving normal foot architecture

2. A serious condition resulting from breakdown of foot and ankle bones

3. A mild foot deformity

4. A type of joint inflammation

The correct answer is: A serious condition resulting from breakdown of foot and ankle bones

Charcot's arthropathy, often referred to as Charcot joint disease, is characterized by the progressive degeneration of bones in the foot and ankle due to a loss of sensation commonly associated with neuropathy, particularly in individuals with diabetes. The condition leads to a breakdown of the foot and ankle bones, resulting in deformities and instability in the affected joints. This process is often insidious; it can progress without significant pain, as the nerve damage impairs sensation in the affected area. Consequently, individuals may not notice the trauma or injury to their feet until significant damage has occurred. This condition can lead to drastic changes in the foot structure and function, making it more difficult for the individual to walk and increasing the risk of further complications, such as ulcerations or infections. A thorough understanding of Charcot's arthropathy is essential for wound care specialists and nurses to properly assess, manage, and create treatment plans for affected patients.