Foot pain after stepping into a pothole

October 7, 2012

Foot XR, Orthopedics, Trauma, XR

This gentleman is presented today with pain in his foot after stepping wrong into a pothole yesterday.  He had significant swelling over the dorsal foot and tenderness to palpation near the site of the xray findings.  Can you spot the problem?

The xray shows non-displaced fractures of the proximal third and fourth metatarsals.

The question is…does this patient have the dreaded “Lisfranc fracture?”

Discussion to follow, comments are appreciated.

Author:  Russell Jones M.D.


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EMREMS: Radiology in Emergency Medicine

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