IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Lisfranc fracture dislocation and Charcot's neuro-arthropathy

Case contributed by Mohammad A. ElBeialy
Diagnosis almost certain

Presentation

Diabetic female patient with bilateral foot pain and swelling as well as difficulty in walking.

Patient Data

Age: 55 years
Gender: Female

Bilateral divergent Lisfranc fracture-dislocation of the tarsometatarsal joints with lateral dislocation of the 2nd through 5th metatarsals.

Bilateral Charcot's neuro-arthropathy with bone debris, fragmentation and disorganization of the tarsal bones; moist evident at the left cuboid and lateral cuneiform bones as well as sclerosis of the tarsal bones and the base of the metatarsal bones with periosteal reaction.

Bilateral talonavicular subluxation is noted as well.

Old fracture of the base of the right 2nd toe proximal phalanx as well as subluxation of the left 2nd and 3rd metatarsophalangeal joints.

Case Discussion

    How to use cases

    You can use Radiopaedia cases in a variety of ways to help you learn and teach.

    Creating your own cases is easy.

    Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.