Presentation
Trauma to foot
Patient Data
Age: 40 years
Gender: Male
From the case:
Homolateral Lisfranc injury
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- Old laterally displaced fracture of the 2nd through 4th metatarsal bases
- malalignment of the second through fourth tarsometatarsal joints
- diastasis >2 mm between the first and second metatarsal bases became more evident on AP view
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- laterally displace fracture noted between 2nd through 4th metatarsal bases
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Annotated image illustrating fractures and widening of Lisfranc space.
Case Discussion
- this is an example of homolateral Lisfranc injury
- MR is helpful for evaluating ligamentous integrity of lisfranc ligament
- complications of untreated fracture include
- non-union and
- post-traumatic arthritis
MR was suggested to the patient but he denied.