Review Question - QID 218651

A 59-year-old man comes to the clinic with a chief complaint of foot pain that radiates along his arch with toe-off. The patient sustained an injury to his foot during a motorcycle accident in his early 20s that was not fixed surgically. A cut from his CT scan at the time of his injury is shown in Figure A. You counsel him that his exam and clinical symptoms are most consistent with post-traumatic midfoot arthritis and suggest that he may need a midfoot arthrodesis. Which of the following is most closely associated with the clinical presentation of midfoot arthritis?