Figure 22.

Normal magnetic resonance imaging anatomy of Lisfranc ligamentous complex in a 51-year-old man. Fat-suppressed coronal pro- ton-density-weighted magnetic resonance (MR) image (A) and axial T2-weighted MR images (B and C) demonstrate normal appearance of the dorsal ligament (black arrow in A, a thick interosseous component (white arrows in A and C) composed of two distinct bands in this individual, and a plantar component with its two bands extending from the medial cunei- form (C1) to the bases of second (M2) and third (M3) metatarsals (white arrowheads in A and C). The plantar Lisfranc ligament can be identified immediately subjacent to the distal peroneus longus tendon which courses more superficially (black arrowhead in C). In B, note normal alignment of the second ray with medial side of second metatarsal (M2) flush with mid- dle/second cuneiform (C2)