Divergent Lisfranc fracture-dislocation

Case contributed by Dr Ankit Balani

Presentation

29-years-old Male patient with history of direct crush injury to the right foot - run over by bus.

Patient Data

Age: 29 years
Gender: Male

Divergent Lisfranc fracture-dislocation

Modality: X-ray

X rays- Dorsoplantar, oblique and lateral views obtained which show fracture-dislocation of 1st metatarsal base with medial displacement. There is also fracture-dislocation of 2nd-5th metatarsal bases with lateral displacement in keeping with divergent Lisfranc fracture-dislocation. Etiology in this case was a direct crush injury. There were associated comminuted fractures of head of 2nd metatarsal, phalanges of 2nd digit with dislocation of 2nd metatarsophalangeal joint. 

Case Discussion

Lisfranc injury is injury to Lisfranc joint which is articulation of metatarsal bones with tarsal bones. Loss of alignment of 2nd metatarsal bone with intermediate cuneiform is characteristic of injury to Lisfranc ligament. It is a severe injury and debilitating if untreated.

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Case Information

rID: 34177
Case created: 8th Feb 2015
Last edited: 10th Nov 2015
Inclusion in quiz mode: Included

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