Radiology Rules: Lisfranc Fractures

A little while back I discussed Lisfranc fractures of the foot.  Here is an image depicting a fracture-dislocation through the Lisfranc joint:

This one is not subtle!  You can see that the bases of metatarsals 1-5 are laterally dislocated.  Remember, the Lisfranc joint involves articulation between metatarsals and tarsus (navicular, cuboid, and three cuneiform bones).  A Lisfranc fracture occurs when one or more of the metatarsals are dislocated from the tarsus.

As a reminder of the Lisfranc radiology findings here is a Word® document reminding us of the “Radiology Rules.”  It is in 3X5 card format you can print front and back and have a convenient reminder if you want to carry it with you on your clinical shifts.  That way hopefully we won’t miss the subtle ones…

Radiology Rule Lisfranc

Author:  Russell Jones, MD

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