Bilateral tarsometatarsal fracture-dislocations: a missed work-related injury

Tadros AMA, Al-Hussona M
Correspondence: Dr Ayman MA Tadros, amatadros@yahoo.com

ABSTRACT
Tarsometatarsal (Lisfranc) fracture-dislocation is an uncommon foot injury. Subtle injuries are more difficult to diagnose though they cause serious morbidity. Bilateral subtle tarsometatarsal injury has not been reported before. We report bilateral subtle tarsometatarsal dislocations that were caused by a work-related accident in a 25-year-old man. The injury was initially missed. Diagnosis was confirmed by computed tomography with curved reconstruction. Associated foot injuries are shown as a guide to the diagnosis.

Keywords: bilateral tarsometatarsal fracture-dislocations, foot injuries, Lisfranc fracture-dislocation, work-related accident
Singapore Med J. 2008; 49(9): e234-5