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The subtle Lisfranc injury: A case for bilateral weight-bearing radiographs
Victoria Hart Burfeind1, Stephanie Bernard
1At the time this article was written, Victoria Hart Burfeind was a student in the PA program at Shenandoah University in Leesburg, Va. She now practices in Atrium Health's orthopedic trauma department in Concord, N.C. Stephanie Bernard is an assistant professor and associate director of the PA program at Shenandoah University. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
A subtle Lisfranc ligament disruption is a rare but potentially devastating injury to the midfoot. If the injury is recognized and treated early, the patient can avoid future arthritic changes and the need for more extensive surgery. The use of bilateral weight-bearing radiographs can aid in the early detection of this subtle injury. This article describes a patient who presented to an orthopedic office with complaints of right foot pain and an inability to participate in physical activity following an intramural sports injury 3 months earlier, and was eventually diagnosed with Lisfranc injury.

