Midfoot

This is the commonest site of presentation of Charcot's osteoarthropathy and it is recognized clinically by the rockerbottom deformity and the medial convexity.

The medial convexity is associated with the classical Lisfranc's tarsometatarsal fracture-dislocation (Fig. 3.21) and also with talonavicular dislocation.

The rockerbottom deformity develops when there is disintegration and displacement of the cuneiforms or the proximal tarsal bones, resulting in collapse of the midfoot. Rockerbottom deformity is frequendy associated with plantar ulceration (Fig. 3.22).

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