Lisfranc Fracture-Dislocation

Napoleon’s surgeon Lisfranc’s name is given to this fracture-dislocation of the midfoot.
Lisfranc injuries are of 2 types:
1. Homolateral (shown): lateral dislocation of metatarsals 1-5 or 2-5.
2. Divergent: lateral dislocation of metatarsals 2-5 and medial dislocation of the first metatarsal.
Cuniform and base of metatarsal fractures are often associated.
Commonest contemporary causes are:
1. Road traffic accident
2. Diabetes - a manifestation of a neuropathic joint (this case)
Reference: Primer of Diagnostic Imaging. Weissleder et al. p407
Credit: Dr Ian Bickle
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