Image Quiz

Injury to the Dorsum of the Foot1

A fifty-six-year-old man who worked as a crane operator was injured when the 300 kg of iron material that he was attempting to lift with a crane fell from a height of 2 m onto the dorsum of his left foot. He was immediately brought to our hospital with severe foot pain. Physical examination showed severe swelling of the left foot, without an open wound, and demonstrated tenderness of the plantar and dorsal surfaces of the midfoot. The patient had no sensory or motor disturbances. Plain radiographs (Fig. 1) and a computed tomographic scan (Fig. 2) with three-dimensional reconstruction were performed.


Fig. 1

Fig. 2
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What is the diagnosis?