Low-energy Lisfranc injury with bipartite medial cuneiform: a rare association

Lisfranc injuries classically result from high-energy trauma, such as motor vehicle accidents or falls from height. However, Lisfranc injuries as a result of low-energy mechanisms are increasingly recognised, especially in the context of sports activities or minor traumas. This case report presents a low-energy Lisfranc injury in a patient with a bipartite medial cuneiform, a rare congenital anomaly that can complicate the diagnosis of foot injuries. Emphasising the importance of recognising congenital foot anomalies in the management of foot trauma, we discuss the diagnostic challenges, treatment strategies and outcomes in the context of this anatomical variation.