This lady presented with pain and inability to weight-bear fully following a slip in which her foot was trapped under herself.
She was discharged with no fracture seen.
She was recalled after radiological report detected a fracture of the base of 2nd metatarsal and suggested further imaging to determine the extent of the injury.
On CT a Lisfranc fracture dislocation was confirmed with multiple fractures of the cuniforms and cuboid.
K-wire stabilization was carried out.