Homolateral Lisfranc injury

Case contributed by Dr Subhan Iqbal

Presentation

Trauma to foot

Patient Data

Age: 40 years
Gender: Male
X-ray
  • 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 
X-ray

Initial X-Ray

  • laterally displace fracture noted between 2nd through 4th metatarsal bases
Annotated image

Zoomed image

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.

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Case information

rID: 79776
Published: 11th Jul 2020
Last edited: 29th Oct 2020
System: Trauma
Inclusion in quiz mode: Included
Institution: Dr ziauddin university hospital karachi