Subtle tarsometatarsal ligament injury in a professional ballerina: weight-bearing computed tomography technical tip

Authors

  • Alexandre Leme Godoy-Santos Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. https://orcid.org/0000-0002-6672-1869
  • Carlos Felipe Teixeira Lobo Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
  • Dov Lagus Rosemberg Hospital Israelita Albert Einstein, São Paulo, Brazil https://orcid.org/0000-0003-0183-8641
  • Rafael Barban Sposeto Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
  • François Lintz Department of Orthopedic Surgery, Division of Foot and Ankle, Duke University, Durham-NC, USA https://orcid.org/0000-0002-0163-6516
  • Cesar de Cesar Netto Department of Orthopedic Surgery, Division of Foot and Ankle, Duke University, Durham-NC, USA.

DOI:

https://doi.org/10.30795/jfootankle.2025.v19.1868

Keywords:

Lisfranc injury, Weight-bearing, wbct, ballerina

Abstract

Early detection of Lisfranc instability is critical for improving clinical outcomes, but diagnosing subtle injury can be challenging. Magnetic Resonance imaging associated with weight-bearing computed tomography (WBCT) allows evaluation of such injuries in 3 dimensions (3D) under physiologic load. This WBCT technical tip aimed to assess the utility of the 3D measurements between medial cuneiform and the base of the second metatarsal (C1-M2), between the medial and intermediate cuneiforms (C1-C2), and between the first and second metatarsals (M1-M2) to diagnose subtle injury in isolated ligamentous Lisfranc injuries. Level of evidence V, Therapeutic studies, Expert opinion.

Downloads

Published

2025-04-30

How to Cite

Godoy-Santos, A. L., Teixeira Lobo, C. F., Rosemberg, D. L., Sposeto, R. B., Lintz, F., & de Cesar Netto, C. (2025). Subtle tarsometatarsal ligament injury in a professional ballerina: weight-bearing computed tomography technical tip. Journal of the Foot & Ankle, 19(1), 1–7. https://doi.org/10.30795/jfootankle.2025.v19.1868