Fleck Sign

Illustration of fleck sign

Fleck sign seen on AP view

Other Names

• Fleck Sign

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Introduction

• Characterized as a small bony fragment seen in the Lisfranc space
  • Between base of 1st and 2nd metatarsal
  • Associated with avulsion of the Lisfranc Ligament
• Can be a subtle finding

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Interpretation

• Small bony fragment in the first inter-metatarsal space, signifies the avulsion of the Lisfranc ligament.

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Pathology

• Lisfranc Injury

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Evidence

• Needs to be updated

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See Also

• Radiology Main
• Foot Pain Main

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