Lisfranc Sprain with Second Metatarsal Base Adaptive Stress Response in High-Level Athletes: Case Series and Novel Perspective on a Distinct Entity of Chronic Low-Energy Lisfranc Injury

<div>(a, b) An 18-year-old footballer with second metatarsal tenderness worse on running and jumping. Axial PDFS (a) shows localized marrow oedema signal at the plantar margin of the base of the second metatarsal involving both interosseous (arrow) and plantar Lisfranc footprints (dash). Minor Lisfranc proper periligamentous oedema without a discrete tear or elongation identified, consistent with grade I sprain. Axial PD (b) clearly demonstrates the cortical thickening at the second metatarsal base (arrow).</div>

Case Reports in Orthopedics

fig2

Figure 2

Figure 2: Lisfranc Sprain with Second Metatarsal Base Adaptive Stress Response in High-Level Athletes: Case Series and Novel Perspective on a Distinct Entity of Chronic Low-Energy Lisfranc Injury 

Figure 2 | Lisfranc Sprain with Second Metatarsal Base Adaptive Stress Response in High-Level Athletes: Case Series and Novel Perspective on a Distinct Entity of Chronic Low-Energy Lisfranc Injury 