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