VARIANT OF THE LISFRANC FRACTURE-DISLOCATION - A CASE-REPORT AND REVIEW OF THE LITERATURE

Lisfranc fracture-dislocations are uncommon injuries with several vari ations. We present one such variation and include a pertinent review o f the literature. This case is unusual in that there was lateral tarso metatarsal disruption with neither diastasis between the first and sec ond metatarsals nor injury to either the first or second tarsometatars al joints. Destabilization of the lateral Lisfranc joints was secondar y to fractures through the second and third metatarsal shafts. Anatomi c reduction and stabilization of the lateral Lisfranc joints resulted only after open anatomic reduction and internal fixation of the metata rsal fractures. Two-year follow-up confirmed an excellent clinical and radiographic result.