Podiatry Settlement: Failure To Timely Diagnose Charcot's Joints in Diabetic Patient (NJ)

The plaintiff in her late 50s, a diabetic with peripheral neuropathy, contended that clinical signs including deformations in the bone, the collapse of the arch, an increase in pain and swelling and redness, should have led to a timely diagnosis of Charcot's joints, a degenerative condition that can result in the breakdown of bones and tissues of the foot. The plaintiff also contended, that she was sent for a bone scan three to four months later and that the defendant should have realized that early stages of the condition were evident. The plaintiff maintained that if diagnosed after the bone scan, more conservative treatment modalities such as the use of a total contact cast would probably have enabled the condition to resolve in the absence of surgery and the implantation of hardware which will permanently cause increased pain and difficulties ambulating.

The defendant maintained that the clinical signs prior to the bone scan were consistent with diabetes and peripheral neuropathy and denied that the failure to diagnose the condition this time constituted a deviation.

The defendant also contended that he recognized the early stages of the condition after the bone scan was taken and acted appropriately by prescribing a walking boot and referring her to her family physician. The plaintiff underwent the surgery approximately one year later.

Result: $ 300,000 Settlement

Source: Jury Verdict Review Publications, Volume 29, Issue 2 [PM News]
 

Defense Verdict: failure to diagnose and treat 5th metatarsal non union (PA)

The plaintiff was a women in her late 30s who underwent surgery performed by the defendant to treat a bunion. The surgery involved cutting and moving the bone of the fifth metatarsal.  The plaintiff complained of continuing persistent foot pain.The plaintiff underwent additional surgery performed by another podiatrist.

She had alleged that the defendant podiatrist was negligent by failing to diagnose and treat a fifth metatarsal non union following the performance of bunion surgery.  Specifically that the defendant failed to timely diagnose and treat a non-union which, if timely diagnosed, would have permitted non-surgical treatment. he defendant argued that the plaintiff was still in the post operative recovery stage when she elected to seek treatment from another podiatrist.  The defendant contended that he had no opportunity to diagnose the plaintiff's non-union.

The defendant's expert  podiatrist Michael Downey, DPM had  testified that the plaintiff was still within the healing phase of her recovery when she chose to treat with another physician some six months after surgery. The non-union was diagnosed by the subsequent treating podiatrist and the defendant maintained that he had no opportunity to diagnose the condition.

Result: The jury found that the defendant was not negligent ($0).


Source: Jury Verdict Review Publications, Volume 16, Issue 10 (PM NEWS)