Divergent Lisfranc fracture-dislocation

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Direct crush injury to the left foot. History of prior foot injuries and surgical fixation of the fifth metatarsal.

Patient Data

Age: 55 years
Gender: Male
Oblique
Frontal
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Info
  • fracture-dislocation of 1st metatarsal base with medial displacement

  • fracture-dislocation of the 2nd metatarsal base with lateral displacement of the metatarsal in keeping with divergent Lisfranc fracture-dislocation

  • fracture along with 3rd metatarsal base

  • evidence of surgical fixation along with the 5th metatarsal

Case Discussion

Foot X-ray findings were compatible with a divergent Lisfranc fracture-dislocation which is a severe injury and debilitating if untreated.

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