Comments: High resolution MRI demonstrates a high grade partial disruption of the Lisfranc ligament in the first case and a complete disruption in the second case. The ligament acts as the keystone in support of the midfoot as it courses from the base of the second metatarsal to the medial cuneiform. Recent literature has helped substantiate that any offset is probably amenable to surgical fixation as malalignment will precipitate pain and early, profound arthrosis.
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