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Lisfranc Fracture-Dislocation. Diagnosis is based on bone scan and plain film findings, clinical history, and physical examination.

Nakamura KMN - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Lisfranc Fracture-Dislocation. Diagnosis is based on bone scan and plain film findings, clinical history, and physical examination.

History: 23 year-old active duty soldier sustained an injury to his right foot while marching, which occurred one month prior to presentation for a bone scan. Patient stated that he stumbled when his right forefoot landed in a depression.

Findings: Plain film of the right foot demonstrated subtle widening of the 1st and 2nd metatarsal bases. Bone scan revealed focally increased uptake in the right 1st and 2nd tarsal-metatarsal joints as well as hyperemia of the entire right foot. Additionally, there is increased uptake in the head of the right 5th metatarsal, the right tibial sesamoid bone, the head of the right 2nd metatarsal, and the tuberosity of the right 5th metatarsal, consistent with stress reactive change.

Ddx: Lisfranc fracture-dislocation

Exam: Exam revealed right midfoot soft tissue swelling and significant tenderness to palpation over the right tarsal-metatarsal joints.

No MeSH data available.


Plain film of right foot demonstrates subtle widening of the interspace between the 1st and 2nd metatarsal bases.
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MPX1866_synpic16350: Plain film of right foot demonstrates subtle widening of the interspace between the 1st and 2nd metatarsal bases.


Lisfranc Fracture-Dislocation. Diagnosis is based on bone scan and plain film findings, clinical history, and physical examination.

Nakamura KMN - MedPix

Plain film of right foot demonstrates subtle widening of the interspace between the 1st and 2nd metatarsal bases.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1866&req=5

MPX1866_synpic16350: Plain film of right foot demonstrates subtle widening of the interspace between the 1st and 2nd metatarsal bases.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Lisfranc Fracture-Dislocation. Diagnosis is based on bone scan and plain film findings, clinical history, and physical examination.

History: 23 year-old active duty soldier sustained an injury to his right foot while marching, which occurred one month prior to presentation for a bone scan. Patient stated that he stumbled when his right forefoot landed in a depression.

Findings: Plain film of the right foot demonstrated subtle widening of the 1st and 2nd metatarsal bases. Bone scan revealed focally increased uptake in the right 1st and 2nd tarsal-metatarsal joints as well as hyperemia of the entire right foot. Additionally, there is increased uptake in the head of the right 5th metatarsal, the right tibial sesamoid bone, the head of the right 2nd metatarsal, and the tuberosity of the right 5th metatarsal, consistent with stress reactive change.

Ddx: Lisfranc fracture-dislocation

Exam: Exam revealed right midfoot soft tissue swelling and significant tenderness to palpation over the right tarsal-metatarsal joints.

No MeSH data available.