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Fleck sign of tarsometatarsal (Lisfranc) injury

Fleck sign of tarsometatarsal (Lisfranc) injury
Small avulsion fractures at the origin or insertion of the Lisfranc ligament, as shown in the plain radiograph above, may occur with a tarsometatarsal injury. Such fractures are referred to as the Fleck sign.
Courtesy of Anthony Beutler, MD and Cole Taylor, MD.
Graphic 104447 Version 1.0

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