Lisfranc fracture dislocation and Charcot's neuro-arthropathy

Case contributed by Dr Mohammad A. ElBeialy

Presentation

54 Years old diabetic female patient with bilateral foot pain and swelling as well as difficulty in walking.

Patient Data

Age: 54
Gender: Female
  • Bilateral divergent Lisfranc fracture dislocation of the tarso-metatarsal 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 talo-navicular 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 metatarso-phalangeal joints.

Case Discussion

 

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    Case Information

    rID: 29941
    Case created: 5th Jul 2014
    Last edited: 16th Dec 2015
    Inclusion in quiz mode: Included

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