Subtle findings of a Lisfranc injury are found in the plain radiographs above. The image on the left (A) is a non-weight-bearing anteroposterior radiograph showing minimal displacement between the first and second metatarsals that can easily be missed. The image on the right (B) is a weight-bearing film, which accentuates the diastasis and demonstrates a wide gap between the metatarsals.
From: Latterman C, Goldstein JL, Wukich DK, et al. Practical management of Lisfranc injuries in athletes. Clin J Sport Med 2007; 17:311. DOI:
10.1097/JSM.0b013e31811ed0ba. Copyright © 2007 American Medical Society for Sports Medicine, American Osteopathic Academy of Sports Medicine, Australasian College of Sports Physicians, and Canadian Academy of Sport & Exercise Medicine. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
