Lisfranc Joint Injuries - XRay Interpretation

The tarso metatarsal joint is named after a french surgeon. The stability of this joint depends on several ligaments the most important being the lisfranc ligament.

The lisfranc ligament is an interosseous ligament complex which attaches at the medial cuneiform and the base of the second metatarsal

In the frontal view check if:

 - The lateral base of the 1st metatarsal is aligned with the lateral aspect of the medial cuneiform

 - The medial base of the 2nd metatarsal is aligned with the medial aspect of the middle cuneiform

In the oblique view check if:

 - The medial base of 3rd metatarsal is aligned with the medial aspect of lateral cuneiform

 - The medial base of 4th metatarsal is aligned with the medial aspect of the cuboid



- Dr. Devpriyo Pal @drdevradiology



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