Presentation
The patient presented with a twisted ankle after coming off the trampoline and has pain and swelling in the foot and ankle, unable to bear weight.
Patient Data
Age: 15 years
Gender: Female
From the case:
Fleck sign - 2nd metatarsal base fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/154129/annotated_viewer_json?_c=1726642082\u0026lang=us"}
There is a minimally displaced intra-articular fracture through the base of the right second metatarsal.
Case Discussion
Bony fragment visible (“fleck sign”) in the space between the 1st and 2nd metatarsal, indicates avulsion of the Lisfranc ligament from the base of the second metatarsal.
Disruption of a line drawn from the medial base of the 2nd metatarsal to the medial side of the middle cuneiform (on AP view).
Unable to process the form. Check for errors and try again.