Normal anteroposterior and oblique non-weight-bearing radiographs of the foot. The arrow on the left marks the medial border of the second metatarsal, which should align directly with the medial border of the middle cuneiform. Any comminution or bony fragments within the circled area should raise suspicion for a Lisfranc injury. The arrow on the right indicates the medial border of the fourth metatarsal, which should align directly with the medial border of the cuboid on the oblique radiograph of the foot.
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.
