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Lisfranc injury

Case contributed by Andrew Murphy
Diagnosis certain

Presentation

Hyperflexion injury of the foot, cannot weight-bear; significant mid foot pain.

x-ray

Widening of the Lisfranc interval, in keeping with the clinical history there is a likelihood of a Lisfranc injury.

ct

Comminuted oblique fracture of the posterior medial aspect of the base of the second metatarsal. Additionally, there is a fracture of the dorsal aspect of the medial cuneiform that has articular involvement. In keeping with the clinical history, this is concerning for a Lisfranc injury. 

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