- Foot dislocation
- Metatarsal fracture
- Plantar plate disruption
- Soft tissue ankle injury
- Lisfranc fracture dislocation
This patient has fractures of the metatarsal bases of digits 2 and 3, and likely 4, as noted. Metatarsal malalignment is diagnostic for Lisfranc fracture dislocation.
Learnings/What to Look for
- Mechanism of injury is direct crush injury, or an indirect load onto a plantar flexed foot
- Disability will occur if the injury is untreated
Pearls for Urgent Care Management and Considerations for Transfer
- Internal fixation is the most common treatment
Acknowledgment: Images and case provided by Teleradiology Specialists, www.teleradiologyspecialists.com.