Foot - Lisfranc injury

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Foot - Lisfranc injury

  • This image shows a gap between the bases of the first and second metatarsals (MT); the second metatarsal is no longer correctly aligned with the intermediate cuneiform bone
  • This is a significant finding which indicates disruption of the Lisfranc ligament
  • Careful assessment of alignment is always required in suspected midfoot injury
  • If the initial X-ray is normal then repeat images with weight-bearing or CT may be required

Foot - Lisfranc injury

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Foot - Lisfranc injury

  • Injury to the Lisfranc ligament is often accompanied by subtle fragmentation of the adjacent bones