Teenager who suffered a crush injury to the foot while riding an all terrain vehicle

Radiograph of Lisfranc fracture dislocation of the foot
AP (left) and lateral (right) radiographs of the foot shows malalignment of all of the metatarsal bones with their respective tarsal bones. There are a large number of radiopaque foreign objects in the plantar aspect of the foot

The diagnosis was Lisfranc fracture dislocation.