Junior call case 12

Lisfranc fracture dislocation

The Lisfranc fracture-dislocation has gained educational importance, because 1) it is a commonly missed diagnosis and 2) it leads to severe disability if left untreated.

• The Lisfranc ligament connects the 1st cuneiform to the 2nd metatarsal base.

• AP view: look for the alignment of the medial borders of the 2nd and 3rd metatarsals with their respective cuneiforms.

• Lateral view, WEIGHT-BEARING: dorsal displacement of the metatarsal bone

• Two types:

• Complication = DORSALIS PEDIS artery injury

Accession: CL0745

Study description: DX FOOT 3V - RT