Dorsolateral dislocation of all the MTC joints, in keeping with homolateral Lisfranc dislocation.
Associated intra-articular comminuted fractures of the 2nd, 3rd and 4th metatarsal bases.
Additional small fracture of the distal plantar corner of the medial cuneiform and comminuted fracture of the distal lateral cuboid.
Significant soft tissue swelling.