Lisfranc Fracture-Dislocation in a Male Ballet Dancer during Take-Off of a Jump a Case Report

Abstract

While initiating a jump, a male professional ballet dancer (28 years old) sustained an acute injury to his midfoot. Radiographs revealed a fracture-dislocation of the first and second tarsometatarsal joints, with dorsal dislocation of the proximal second metatarsal. Surgical treatment included open reduction and internal fixation of the first and second tarsometatarsal joints and the intercuneiform joints. This injury caused the dancer to retire prematurely from professional ballet dancing, despite restoration of anatomical alignment and reacquisition of full mobility in the foot and ankle. Follow-up radiographs at three years post-injury indicated maintenance of the reduction and signs of mild arthritis in the midfoot. The dancer resumed ballet dancing at a non-professional level. It is important for dancers to realize that acute Lisfranc injuries can end dance careers despite immediate treatment. Proper footwear and floor-surface maintenance are important for prevention of this injury.