Presentation
Inversion injury 2 days previously. Tender 2nd to 4th metatarsals.
Patient Data
Age: 75 years
Gender: Female
From the case:
Lisfranc injury
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Info
Increased distance between the medial cuneiform and 2nd metatarsal on the AP view, in keeping with a Lisfranc injury.
From the case:
Lisfranc injury
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Info
Operative fixation was carried out a few days later to stabilize the midfoot.
Case Discussion
This is a case of a Lisfranc injury (or Lisfranc fracture-dislocation), an important finding to identify if present. If missed this can lead potentially to chronic pain and midfoot arthritis (with potential medicolegal implications!), so internal fixation is indicated to restore stability of the Lisfranc joint and hopefully avoid any long term complications.
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