title: Stress fracture of the second metatarsal and sprain of lisfranc joint in a pre-professional ballet dancer.
abstract: We present the case of a 14-year-old pre-professional ballerina that demonstrates common features of two conditions affecting the midfoot that are often missed or subject to delay in diagnosis in such young athletes: 1. stress fractures at the base of the second metatarsal, and 2. sprain of the Lisfranc joint complex. While these represent potentially career-altering injuries in the professional dancer, this case demonstrates that a high index of clinical suspicion, careful physical exam, appropriate radiographic assessment, and prompt treatment are essential to achieving the best possible outcome.
authors.affiliation: Departments of Orthopedics and Pediatrics, Rhode Island Hospital/Hasbro Children's Hospital, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Kriz
authors.affiliation: Department of Pediatrics, Rhode Island Hospital/Hasbro Children's Hospital, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Rafferty
authors.affiliation: Department of Radiology, Rhode Island Hospital/Hasbro Children's Hospital, Warren Alpert Medical School, Brown University, Providence, 2 Dudley Street, Suite 200, Providence, Rhode Island 02905, USA. peter_kriz@brown.edu.
authors.forename: Peter
authors.initials: P
authors.lastname: Evangelista
authors.affiliation: Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Van Valkenburg
authors.affiliation: Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: DiGiovanni
mesh_terms: D000293:Adolescent; D003615:Dancing / Q000293:injuries*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis* / Q000209:etiology; D008682:Metatarsal Bones / Q000293:injuries*; D013180:Sprains and Strains / Q000175:diagnosis* / Q000209:etiology; D013640:Tarsal Joints / Q000293:injuries*