Normal Lisfranc alignment

Case contributed by Dr Wael Nemattalla
X-ray

Normal Lisfranc alignment

Case Discussion

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Normal Lisfranc alignment:

Lines of alignment are represented in red and joint lines are represented in yellow.

Lines (1) and (2) are assessed in AP view.

Lines (3) through (6) are assessed in oblique view.

(1)   Lateral border of 1st metatarsal is aligned with lateral border of 1st(medial) cuneiform.

(2)    Medial border of 2nd metatarsal is aligned with medial border of 2nd (intermediate) cuneiform.

(3)   Medial border of the 3rd(lateral) cuneiform should align with medial border of 3rd metatarsal.

(4)   Lateral border of the 3rd(lateral) cuneiform should align with lateral border of 3rd metatarsal.

(5)   Medial border of 4th metatarsal aligned with medial border of cuboid.

(6)   Lateral margin of the 5th metatarsal can project lateral to cuboid by up  to 3 mm on oblique.

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Case information

rID: 10121
Published: 30th Jun 2010
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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