Lisfranc injury

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Foot pain.

Patient Data

Age: 20 years
Gender: Female
x-ray

There is a step in the alignment of the 2nd metatarsal and intermediate cuneiform with mild widening between the bases of the 1st and 2nd metatarsals.

Incidentally, there is thickening of the second metatarsal cortex - the cause or significance of this is not known. 

Case Discussion

Lisfranc injury was subsequently confirmed on further imaging and the patient underwent operative management. 

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