Lisfranc fracture dislocation and Charcot's neuro-arthropathy
54 Years old diabetic female patient with bilateral foot pain and swelling as well as difficulty in walking.
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- 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.
- 1- Levitt BA, Stapleton JJ, Zgonis T. Diabetic Lisfranc fracture-dislocations and Charcot neuroarthropathy. Clin Podiatr Med Surg. 2013;30 (2): 257-63. doi:10.1016/j.cpm.2013.01.002 - Pubmed citation
- 2- Vasquez V, Henderson S. Charcot foot? Charcot arthropathy caused by lisfranc fracture-dislocation in a diabetic. West J Emerg Med. 2011;11 (2): 146-7. Free text at pubmed - Pubmed citation