Presentation
Trauma to foot
Patient Data
Age: 40 years
Gender: Male
From the case:
Homolateral Lisfranc injury
![](https://prod-images-static.radiopaedia.org/images/53075104/bee8c5885fd5eb8f18a3ddc190a10c_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/53075105/4e113e951b5d45bc62b2e355d7881e_thumb.jpeg)
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Info
![](https://prod-images-static.radiopaedia.org/images/53075104/bee8c5885fd5eb8f18a3ddc190a10c_big_gallery.jpeg)
- 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
![](https://prod-images-static.radiopaedia.org/images/53109187/5dbed19b6ebb6b5e4adb5a7f64874f_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/53109188/2a1f35e3d0d597e6a14cbef56da98c_thumb.jpeg)
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![](https://prod-images-static.radiopaedia.org/images/53109187/5dbed19b6ebb6b5e4adb5a7f64874f_big_gallery.jpeg)
- laterally displace fracture noted between 2nd through 4th metatarsal bases
![](https://prod-images-static.radiopaedia.org/images/53109189/b8407d8692ee013a71ab307c472c72_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/53109190/6028145eb6f5cdc34fa517fed3a8c5_thumb.jpeg)
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![](https://prod-images-static.radiopaedia.org/images/53109189/b8407d8692ee013a71ab307c472c72_big_gallery.jpeg)
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.