Lisfranc fracture-dislocation precipitating acute Charcot arthopathy in a neuropathic diabetic foot: a case report.
The Lisfranc injury is relatively uncommon yet remains popular in the literature due to its variable causative mechanisms and subtleties in radiographic features despite its potential for disabling long term outcomes if treatment is inadequate, inappropriate or delayed. These injuries are especially pertinent in diabetic patients, especially those with neuropathy, since they are more common, can lead to Charcot neuropathic joint, ulcers and have different causative mechanisms compared to the general population. We describe the case of a neuropathic diabetic patient who presented with a Lisfranc injury which precipitated the development of acute Charcot arthropathy in the right foot. The case serves to illustrate several salient points about the Lisfranc joint and related injuries in diabetic patients.
Yeoh
Joey
J
Department of Endocrinology and Diabetes, Centre for Clinical Research and Effective Practice, Room 33, Support Building, Middlemore Hospital, Auckland, New Zealand. drjoeyyeoh@gmail.com.
Muir
Kenneth Ross
KR
Dissanayake
Ajith Munasinghe
AM
Tzu-Chieh
Wendy Yu
WY