Stress fracture of the second metatarsal and sprain of Lisfranc joint in a pre-professional ballet dancer

Kriz, Peter; Rafferty, Jason; Evangelista, Peter; Van Valkenburg, Scott; DiGiovanni, Christopher

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Kriz, Peter^1,2; Rafferty, Jason²; Evangelista, Peter³; Van Valkenburg, Scott⁴; DiGiovanni, Christopher⁴

Stress fracture of the second metatarsal and sprain of Lisfranc joint in a pre-professional ballet dancer

J Dance Med Sci. June 2015;19(2):80-85

Affiliations

¹Department of Orthopedics, Rhode Island Hospital/Hasbro Children's Hospital, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA

²Department of Pediatrics, Rhode Island Hospital/Hasbro Children's Hospital, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA

³Department of Radiology, Rhode Island Hospital/Hasbro Children's Hospital, Warren Alpert Medical School, Brown University, Providence, 2 Dudley Street, Suite 200, Providence, Rhode Island 02905, USA

⁴Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
Abstract

We present the case of a 14-year-old pre-professional ballerina that demonstrates common features of two conditions affecting the midfoot that are often missed or subject to delay in diagnosis in such young athletes: 1. stress fractures at the base of the second metatarsal, and 2. sprain of the Lisfranc joint complex. While these represent potentially career-altering injuries in the professional dancer, this case demonstrates that a high index of clinical suspicion, careful physical exam, appropriate radiographic assessment, and prompt treatment are essential to achieving the best possible outcome.
Links

DOI: 10.12678/1089-313X.19.2.80

PubMed: 26045400

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Cited By (1)

Year	Entry
2015	Lievers WB, Frimenko RE, McCullough KA, Crandall JR, Kent RW. Etiology and biomechanics of midfoot (Lisfranc) injuries in athletes. Crit Rev Biomed Eng. 2015;43(2-3):213-238.