Skip to main content
SpringerLink
Log in

Isolated avulsion fracture of the first metatarsal base at the peroneus longus tendon attachment: a case report

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Avulsion fractures of the first metatarsal (MT1) base at the peroneus longus (PL) tendon attachment are rare and may be undiagnosed during an emergency visit. If the injury is not treated properly, chronic pain or persistent impairment for inversion and plantar-flexion of the first ray may occur. This case report presents a 30-year-old woman who presented 10 weeks post trauma to a foot and ankle surgeon due to a swollen right midfoot with diffuse tenderness over the medial Lisfranc joint. Further evaluation showed an isolated avulsion fracture of the first metatarsal, which was undiagnosed during the emergent visit following the accident. In this case, the patient was successfully treated conservatively. The goal of this article is to raise awareness of this rare injury for radiologists and orthopedic surgeons.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Hodor L, Murphy RD, Eskandari NB. Avulsion fracture at the plantar lateral base of the first metatarsal: two case reports. J Am Podiatr Med Assoc. 1992;82(10):525–8.

    Article  CAS  PubMed  Google Scholar 

  2. Kwak HY, Bae SW. Isolated avulsion fracture at the plantar lateral base of the first metatarsal: a case report. Foot Ankle Int. 2000;21(10):864–7.

  3. Murakami T, Okamura K, Harada S, Setojima M, Ikushiba Y, Miyamoto Y, et al. Avulsion fracture of peroneus longus at the first metatarsal insertion: a case report. Br J Sports Med. 2004;38(4):E13.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Zermatten P, Crevoisier X. Avulsion fracture of the peroneus longus tendon insertion at the base of the first metatarsal: report of a case. Foot Ankle Surg. 2011;17:e10–2.

  5. Hung M, Baumhauer JF, Latt LD, Saltzman CL, SooHoo NF, Hunt KJ, et al. Validation of PROMIS (R) physical function computerized adaptive tests for orthopaedic foot and ankle outcome research. Clin Orthop Relat Res. 2013;471(11):3466–74.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Huskisson EC. Measurement of pain. Lancet. 1974;2(7889):1127–31.

    Article  CAS  PubMed  Google Scholar 

  7. Hardcastle PH, Reschauer R, Kutscha-Lissberg E, Schoffmann W. Injuries to the tarsometatarsal joint. incidence, classification and treatment. J Bone Joint Surg. 1982;64(3):349–56.

    Article  CAS  Google Scholar 

  8. Myerson MS, Fisher RT, Burgess AR, Kenzora JE. Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle. 1986;6(5):225–42.

    Article  CAS  PubMed  Google Scholar 

  9. Welck MJ, Zinchenko R, Rudge B. Lisfranc injuries. Injury. 2015;46(4):536–41.

    Article  CAS  PubMed  Google Scholar 

  10. Patil V, Frisch NC, Ebraheim NA. Anatomical variations in the insertion of the peroneus (fibularis) longus tendon. Foot Ankle Int. 2007;28(11):1179–82.

  11. Shyamsundar S, Wazir A, Allen PE. Variations in the insertion of peroneus longus tendon: a cadaver study. Foot Ankle Surg. 2012;18(4):293–5.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA

    Maxwell W. Weinberg, Nicola Krähenbühl, Nathan P. Davidson, Christopher J. Hanrahan & Alexej Barg

  2. Department of Radiology and Imaging Sciences, University of Utah, 30 N. 1900 E. No. 1A071, Salt Lake City, UT, 84132, USA

    Christopher J. Hanrahan

Authors
  1. Maxwell W. Weinberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nicola Krähenbühl
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nathan P. Davidson
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Christopher J. Hanrahan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Alexej Barg
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nicola Krähenbühl.

Ethics declarations

Conflict of interests

Nicola Krahenbuhl is supported by a grant from the Swiss National Science Foundation (SNF; grant number: P2BSP3_174979).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Weinberg, M.W., Krähenbühl, N., Davidson, N.P. et al. Isolated avulsion fracture of the first metatarsal base at the peroneus longus tendon attachment: a case report. Skeletal Radiol 47, 743–746 (2018). https://doi.org/10.1007/s00256-017-2852-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-017-2852-x

Keywords

Search

Navigation