Stress fractures of the second metatarsal involving Lisfranc's joint

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in balìet dancers. A new overuse injury of the foot. Micheli-LJ; Sohn-RS; Solomon-R J-Bone-Joint-Surg-Am. 1985 Dec; 67(9): 1372-5 We reviewed the cases of four female ballet dancers with a stress fracture of a type that has not been reported previously. This fracture occõrs in the proximal portion of the second metatarsal and involves the volar and medial aspects of Lisfranc's joint. A differential diagnosis of pain in the middle part of the foot in a dancer should include a consideration of this entity, which can be very difficult to diagnose on initial assessment. Oblique radiographs, tomograms, and a bone scan may be necessary to confirm the diagnosis® With early recognition and diagnosis, in three of the four patients the fracture healed with immobilization and modified training. One patient required surgical resection because of persistent non-union of the necrotic fracture fragment.