The foot x-ray images show Lisfranc fracture.
There is lateral subluxation of 2 nd and 3 rd metatarsal bases. The lateral view shows a step deformity of the metatarsal bases.
Normally in the AP view of the foot, medial margin of the 2 nd metatarsal should align with the medial margin of the intermediate cuneiform.
Normally in the oblique foot view, medial margin of the 3 rd metatarsal should align with the medial margin of the lateral cuneiform bone.
Lisfranc fracture is a fracture dislocation of the tarso-metatarsals.
The patient underwent operative reduction and internal fixation.
Reference: Fundamentals of Diagnostic Radiology by Brant & Helms.