Lisfranc injury: How frequently does it get missed? And how can we improve?

Sherief, T.; Mucci, B.; Greiss, M.E.

doi:10.1016/j.injury.2006.10.002

Cited by 94 publications

(56 citation statements)

References 11 publications

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“…Anterior-posterior abduction stress radiographs may be a valid option in selected cases [4]. A spiral computed tomography (CT) scan, including multiplanar two-dimension reformatting, may be useful for the preoperative analysis of posttraumatic osteoarthritis, osseous defects, and subtle deformities [2,5,20].…”

Section: Preoperative Imagingmentioning

confidence: 99%

“…Care should be taken not to inadvertently damage the perforating branch of the dorsal artery with the first oblique screw [14]. In the case of technical problems with the lag screws, poor bone quality, revision arthrodesis, or greater defects bridged by a structural graft a small fragment plate should be preferred to singular compression screws [2]. Finally, prior to mobilization of the patient, a valid fluoroscopic documentation of the results of reconstruction and implant position in three planes should be made as well as corresponding X-rays.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…Traumatic lesions of the Lisfranc joint line were formerly assumed to represent a rather rare entity that resulted from high-energy trauma [1][2][3]. More recently, it has become apparent that up to 50% of such lesions are due to sports injuries or minor trauma leading to a ligamentous or an osteo-ligamentous injury of the Lisfranc joint [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…More recently, it has become apparent that up to 50% of such lesions are due to sports injuries or minor trauma leading to a ligamentous or an osteo-ligamentous injury of the Lisfranc joint [2,[4][5][6]. Those -mostly subtle -injuries represent the major source of primarily missed or misinterpreted lesions which may induce a symptomatic osteoarthritis and a pronounced functional impairment in the further clinical course of the injury.…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction After Malunited Lisfranc Injuries

2010

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Symptomatic secondary osteoarthritis of the Lisfranc joints due to malunion following Lisfranc joint fracture dislocations or ligamentous lesions at the Lisfranc and innominate joint level generally lead to a painful functional loss and a substantial disturbance of the walking performance. Initially missed or inadequately addressed primary lesions still represent the major source of Lisfranc joint malunions. Neuro-osteoarthropathic disorders may also become manifest in the Lisfranc joint region and may be mistaken for truly posttraumatic consequences. Secondary osteoarthritis may be combined with typical multiplanar deformities. The concept of a corrective arthrodesis includes restoration of stable physiologic axes and length proportions of the foot columns. A standardized approach to analyze the clinical picture and corresponding pathomorphology and the transfer into a comprehensive surgical concept which respects the realignment of any component of deformity is a prerequisite for a good functional outcome and a high degree of patient satisfaction. A fusion limited to the medial three rays combined with a soft tissue release may be sufficient for a favorable outcome in the majority of cases and preserve the mobility of the two lateral rays.

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Section: Preoperative Imagingmentioning

confidence: 99%

Section: Surgical Techniquesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reconstruction After Malunited Lisfranc Injuries

2010

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“…Trotz verbesserter Diagnostik sind das Übersehen von Verletzungen, insbesondere isolierter ligamentärer TMT-Instabilitäten, oder Fehldiagnosen mit 10-20% häufig [11,38,42]. Eine insuffiziente Therapie kann in einer schmerzhaften Fußdeformität oder einer eingeschränk-ten Funktion münden [4,29,32,37].…”

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Lisfranc-Luxationsfraktur

Coulibaly

Jones

Dudda

et al. 2012

Trauma Berufskrankh

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Traumatische Verletzungen der TMTGelenkreihe, auch LL oder LLF, sind mit 0,1-0,4% aller Frakturen in der orthopä-disch-traumatologischen Chirurgie selten [6,14]. Trotz verbesserter Diagnostik sind das Übersehen von Verletzungen, insbesondere isolierter ligamentärer TMT-Instabilitäten, oder Fehldiagnosen mit 10-20% häufig [11,38,42]. Eine insuffiziente Therapie kann in einer schmerzhaften Fußdeformität oder einer eingeschränk-ten Funktion münden [4,29,32,37].Während mit einer konservativen Therapie eine erhöhte Inzidenz sekundärer Dislokationen sowie schlechte funktionelle Ergebnisse verbunden sind [2, 32], kann das primär offene operative Therapieverfahren als Goldstandard angesehen werden. Strukturelle ligamentäre Instabilitäten oder Frakturdislokationen bedingen ein progressives operatives Vorgehen [2,15,18,22,30,41,44]. Eine operative Rekonstruktion ermög-Ein Verständnis der Anatomie des Lisfranc-Gelenkkomplexes ist für eine adäquate Bewertung und Behandlung einer LLF imperativ.Der Lisfranc-Gelenkkomplex stellt die distale Begrenzung des Mittelfußes (Tarsus) zum Vorfuß dar (. Abb. 1). Der knö-cherne Mittelfuß setzt sich aus dem Os na-

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Orthopedic Pitfalls of the Lower Extremity

Kiefer

2012

Urgent Care Emergencies

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Lisfranc injury: How frequently does it get missed? And how can we improve?

Cited by 94 publications

References 11 publications

Reconstruction After Malunited Lisfranc Injuries

Reconstruction After Malunited Lisfranc Injuries

Lisfranc-Luxationsfraktur

Orthopedic Pitfalls of the Lower Extremity

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