Metatarsal Neck Fractures Are not Always Isolated Injuries: Case Report of a Lisfranc Injury

A 40-year-old male presented to the emergency room with tenderness, swelling, and ecchymosis in the middle/medial and dorsal aspects of his right foot after falling from a height of about 1 meter at work. He had a medial cuneiform bone fracture-dislocation, first metatarsal base luxation, displaced second metatarsal neck fracture, and nondisplaced third metatarsal neck fracture. The Lisfranc fracture-dislocation was treated with two cannulated screws using a dorsomedial approach. The displaced second metatarsal fracture was treated by open reduction and internal fixation using a Kirschner wire. The nondisplaced third metatarsal fracture was treated conservatively. (JAREM 2014)