Demographics:
55 years old, Male
Indication:
Foot swelling
Case #1
Findings
- Thin ossific fragment along the medial aspect of the base of the second metatarsal
- Slight lateral subluxation of the second metatarsal base relative to the middle cuneiform
- Thin mineralized densities along the dorsal margin of the talar neck with overlying soft tissue swelling
- Mild degenerative changes of the first MTP joint
Diagnosis
Lisfranc injury
Dorsal talar avulsion fracture
Sample Report
Findings concerning for Lisfranc injury with a small avulsion fracture along the medial aspect of the second metatarsal base and slight lateral subluxation of the second metatarsal base relative to the middle cuneiform. Consider CT for further evaluation.
Tiny avulsion fractures along the dorsal margin of the talar neck, favored acute given overlying soft tissue swelling.
Mild degenerative changes of the first MTP joint.
Discussion