Skeletal Radiology

, Volume 47, Issue 5, pp 743–746 | Cite as

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

  • Maxwell W. Weinberg
  • Nicola Krähenbühl
  • Nathan P. Davidson
  • Christopher J. Hanrahan
  • Alexej Barg
Case Report


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.


Peroneus longus tendon Avulsion fracture Lisfranc injury 


Compliance with ethical standards

Conflict of interests

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


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Copyright information

© ISS 2018

Authors and Affiliations

  • Maxwell W. Weinberg
    • 1
  • Nicola Krähenbühl
    • 1
  • Nathan P. Davidson
    • 1
  • Christopher J. Hanrahan
    • 1
    • 2
  • Alexej Barg
    • 1
  1. 1.Department of OrthopaedicsUniversity of UtahSalt Lake CityUSA
  2. 2.Department of Radiology and Imaging SciencesUniversity of UtahSalt Lake CityUSA

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