Your diagnosis? Midfoot sprain: Lisfranc ligament disruption.
Suspected midfoot sprains can be a challenge to evaluate when the initial weight-bearing views are normal. In this case, MRI allowed prompt confirmation of the suspected unstable Lisfranc ligament injury and contributed to prompt management with rigid fixation.
Hatem
Stephen F
SF
Department of Radiology, Cleveland Clinic Foundation, Ohio 44195, USA.
Davis
Alan
A
Sundaram
Murali
M
D000293:Adolescent; D018409:Foot Injuries / Q000175:diagnosis*; D005538:Football / Q000293:injuries*; D006801:Humans; D008022:Ligaments / Q000293:injuries* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D013180:Sprains and Strains / Q000601:surgery*