A rare Lisfranc-type injury involving dorsal dislocation of the intermediate cuneiform and second metatarsal

Abstract

Lisfranc injuries, involving the tarsometatarsal joints, are rare and account for approximately 0.2% of all fractures. Among these, dorsal dislocation of the intermediate cuneiform is extremely uncommon. This case study presents a 25-year-old male with a rare Lisfranc injury involving dorsal dislocation of the intermediate cuneiform and second metatarsal, following a motorcycle accident. Diagnosis was confirmed through radiographs and CT scans. The patient underwent closed reduction with percutaneous pinning and K-wire fixation. Postoperative outcomes were favourable, with the patient achieving full recovery and no residual pain. This report highlights the importance of accurate diagnosis and timely intervention to prevent long-term complications. The discussion includes a review of the Lisfranc joint anatomy, classification of injuries, and imaging techniques essential for proper evaluation. The case underscores the need for heightened clinical awareness and systematic imaging approaches in managing such rare injuries.