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Traumatic homolateral Lisfranc fracture dislocation

Case contributed by Assoc Prof Craig Hacking


Fall down stairs.

Patient Data

Age: 50 years
Gender: Female

Homolateral Lisfranc fracture dislocation. Fractured 2nd, 3rd and 4th metatarsal bases.

Dorsolateral dislocation of all the MTC joints, in keeping with homolateral Lisfranc dislocation.

Associated intra-articular comminuted fractures of the 2nd, 3rd and 4th metatarsal bases.

Additional small fracture of the distal plantar corner of the medial cuneiform and comminuted fracture of the distal lateral cuboid.

Significant soft tissue swelling.

Normal post op alignment of the Lisfranc fracture dislocation following K-wire internal fixation.

Case Discussion

Homolateral Lisfranc dislocation is less common than the divergent form of injury.

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Case information

rID: 55103
Published: 28th Sep 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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