Fig. 1

a Question 1: Is there evidence of disruption at any of the mid foot articulation? (Response 2: Dislocation of articulations is evident). b Question 2: Are there any bone fragments visible in the midfoot? (Response: Yes > 3 fragments visible). c Is there significant or overt osteopenia (loss of bone density) through the mid foot? (Response: 1 – Yes). d Is there a noticeable change in shape of any mid tarsal bones not affected by fracture or fusion? (Response: 1 – Yes). e Is there loss of the plantar arch (medial longitudinal arch)? (Response: 3- The plantar arch is convex (rocker bottom)