Lisfranc Ligament Injury Utilizing Multimodal Imaging. A Case Report

• DOI: 10.1007/s42399-021-00734-5
• Publication Date: 2021-01-13T19:25:23Z
• Authors: Carrie A. Santore; Stacey M. Cornelson; Patrick J. Battaglia; Norman W. Kettner
• Keywords: 03 medical and health sciences; 0302 clinical medicine

This case report describes clinical and imaging findings in a patient with an acute dorsal Lisfranc ligament tear and repair. A 23-year-old female presented with right-sided dorsal midfoot pain that extended into her right ankle, from an inversion injury that occurred while jumping between trampolines. Multimodality imaging demonstrated widening of the first cuneiform/s metatarsal space, complete fibrillar disruption of the dorsal Lisfranc ligament, and subcutaneous edema on the dorsal aspect of the first and second metatarsals and cuneiforms, consistent with a dorsal Lisfranc ligament tear. Lisfranc injuries are common with direct crush and plantar flexion mechanisms of injury. Multiple imaging modalities, including radiography, magnetic resonance imaging (MRI), computed tomography (CT), and diagnostic ultrasound, are useful in evaluating these injuries. Since the Lisfranc ligaments are important stabilizers of the foot, surgery is the treatment of choice.