Figure 3

STIR sequence oblique axial view of the right foot. This shows the 6 mm lateral displacement of the 2nd and 3rd metatarsals and a completely ruptured Lisfranc ligament which should usually be seen crossing the 1^st metatarsal space obliquely. The ruptured ligament would explain why the typical "fleck sign" was absent on the plain radiograph as a ruptured ligament will not avulse the lateral border of the medial cuneiform or the medial border of the 2^nd metatarsal base.