Rotational Ankle Fracture Dislocation With Associated Lisfranc Fracture

While ankle fractures most often result from a rotational injury, Lisfranc injuries are more commonly associated with an axial load on a plantarflexed foot. Due to differing mechanisms of injury, rotational ankle fractures with Lisfranc injuries are uncommon and rarely discussed in the literature. Here we present a case of a rotational ankle fracture-dislocation with a concomitant Lisfranc injury. The Lisfranc injury, which was ultimately treated nonoperatively, was discovered seven weeks after operative fixation of the ankle fracture. At the last follow-up nine months after the initial injury, the patient had mild midfoot soreness with activity but no evidence of deformity or arch collapse. Although no deformity was observed in our patient, missed Lisfranc injuries may result in significant functional deficits indicating the importance of recognizing the possibility of a dual injury.