Fig. 5

Lisfranc fracture-dislocation. a AP view of the foot with widening of the space between the first and second metatarsal bases (arrowheads). Misalignment of the second metatarsal base from the middle cuneiform (medial margin of middle cuneiform demarcated with black arrow). Fractures of the bases of the third and fourth metacarpals (white arrows). b Lateral view in the same patient shows dorsal displacement of the second to fourth metatarsal bases (arrow). c Volume rendered CT reformat in a different patient with dislocation of the second, third, and fourth metatarsal bases. d Different patient. Additional Lisfranc fracture dislocation. Here, the misalignment of the second metatarsal base from the middle cuneiform is shown with dashed lines—these should be in the same line. Again, there is widening of the first and second metatarsal base interspace