Lisfranc's fracture-dislocation: a manifestation of peripheral neuropathy.
Lisfranc's fracture-dislocation may be secondary to acute trauma, but on the basis of our experience with seven cases, it is more commonly a manifestation of repetitive subclinical trauma in patients with a neuropathic disorder. Separation of these two groups of patients is important, since those with acute trauma require reduction and those with a neuropathy need only be treated with non-weight bearing. All patients with Lisfranc's fracture-dislocation and without a specific history of acute trauma should be evaluated for the possibility of diabetes mellitus or another cause of sensory neuropathy.
D000328:Adult; D000368:Aged; D003929:Diabetic Neuropathies / Q000150:complications*; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008684:Metatarsus / Q000000981:diagnostic imaging / Q000293:injuries*; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000150:complications*; D011859:Radiography; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000293:injuries*