Lisfranc Injury in Adolescents

Veijola, Kia; Laine, Heikki-Jussi; Pajulo, Olli

doi:10.1055/s-0032-1330847

Cited by 16 publications

(20 citation statements)

References 16 publications

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“…Veijola et al 12 conducted a retrospective review of three male and three female patients with a mean age of 14.7 years within an age range of 13 to 16 years old at the time of evaluation; note, one patient had bilateral Lisfranc injures, totaling the amount of injured feet to seven. Impact from a height between 3 to 10 meters accounted for four Lisfranc injuries and the other three Lisfranc injuries were from motor vehicle accidents (MVA) involving motorcycles or scooters.…”

Section: Resultsmentioning

confidence: 99%

Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm

Paek

Hogue

2022

Journal of Children's Orthopaedics

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Background: Pediatric Lisfranc injuries (PLI) are rare injuries that have few studies published about their occurrence and treatment in pediatric population. Due to this lack of information, the diagnostic criteria and surgical or non-surgical methods for treatment have not been clearly established within the pediatric orthopedic literature. The objective of this study was to review the published literature related to treatment options and develop a concise stepwise treatment algorithm for pediatric patients presenting with Lisfranc injuries. Methods: A systematic literature review was conducted using PubMed to find studies discussing the treatment of PLI with reported long-term outcomes. Data collection accounted for the mechanism of injury, diagnostic imaging modality used, injury type, fracture classification using the Myerson system, treatment method used, and postoperative complications. Results: An initial PubMed search revealed 290 articles, but only 10 studies fulfilled the criteria for in-depth review. A total of 114 patients were included in this review from the selected case reports and case series studies. Primary treatment methods were as follows: 44% (50/114) with open reduction internal fixation (ORIF) using Kirschner wires (K-wires) and/or screws, 3% (3/114) with closed reduction percutaneous fixation (CRPF), 4% (4/114) with suture-button constructs, 20% (23/114) with cast immobilization, and 29% (33/114) were described as not requiring reduction. Conclusion: There were two main limitations to this study. First, there are few published studies with longitudinal outcomes of PLI treatment. Second, some case series did not disclose which procedure a patient with post-treatment complications underwent. Therefore, an overall statistical analysis of success and failure rates with associated complications of each procedure could not be conducted. In conclusion, we found that a stepwise approach to evaluating conservative and surgical treatment options based on the presentation of the PLI should be utilized to optimize long-term outcomes.

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Section: Resultsmentioning

confidence: 99%

Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm

Paek

Hogue

2022

Journal of Children's Orthopaedics

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“… 5 Similarly in children, a study of adolescent Lisfranc injuries found persistent pain and discomfort in 6 of 7 patients treated with open reduction and internal fixation, with maintenance of reduction at 26-month follow-up. 11 Several other studies have reported chronic pain in surgically treated pediatric patients as well, some with evidence of degenerative changes. 7 , 8 , 12 The full extent of radiographic and bony changes in the pediatric population, however, has not been adequately described, and long-term outcomes into adulthood are unknown.…”

Section: Discussionmentioning

confidence: 98%

Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation

2018

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We present a case of a 10-year-old girl who sustained a Lisfranc fracture-dislocation after an all-terrain vehicle accident. She underwent open reduction and internal fixation with smooth Kirschner wires. At 5-year follow-up, she had developed functional pain and radiographic evidence of degenerative arthritis and partial fusion of her midfoot. There are several possible explanations for this outcome, including loss of reduction, traumatic or iatrogenic physeal injury, and severity of initial injury. Long-term outcomes in children with Lisfranc injuries are not well described. Our case may begin to shed light on the natural history of these injuries in the pediatric population, with the consideration of potential treatment implications and pitfalls.

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“…There are few studies of Lisfranc injuries in children and thus the treatment strategies are based on the reported results applying to adults. Depending on the mechanism of injury and its result (ligamentous and/or osseous injury), different treatment options have been described including conservative treatment, use of k-wires and/or screws and/or plates[11,14,15]. These methods seem to offer really stable fixation but disadvantages and complications have been reported including screw breakage, reduced range of motion and pain of the affected area, extensive cartilage damage, prolonged immobilization period and need for additional procedures to remove the screws[16-19].…”

Section: Discussionmentioning

confidence: 99%

“…Literature dealing with Lisfranc injuries in adolescents/children are extremely limited (Table 2). Veijola et al[14] in their retrospective study included six patients (range 13 to 16 years) treated with ORIF. In all but one case, they achieved anatomical reduction, but most patients claimed discomfort in the injured foot.…”

Section: Discussionmentioning

confidence: 99%

Adolescent Lisfranc injury treated with TightRope^TM: A case report and review of literature

Tzatzairis¹,

Firth²,

Parker³

2019

WJO

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BACKGROUNDLisfranc injuries are rare and can be easily missed. This injury is extremely rare in children, with limited published data. Different treatment options have been described; one of the options in adults is the “mini” TightRope™ Syndesmosis Device that provides non-rigid fixation with impressive results. However, there is no reference regarding the use of this device in children.CASE SUMMARYWe describe the case of an 11-year-old girl who sustained a Lisfranc injury of her right foot that was initially missed in the Accident and Emergency department of her local hospital. This case was a ligamentous/periosteal sleeve avulsion type of Lisfranc injury and a percutaneous technique using the “mini” TightRope™ syndesmosis device was used. Clinical and radiological results were excellent at final follow up.CONCLUSIONThe “mini” TightRope™ syndesmosis device is a promising method of fixation for children with certain Lisfranc injuries. This method has many advantages, including the non-rigid type of the fixation and no need for subsequent metalwork removal.

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Lisfranc Injury in Adolescents

Abstract: Lisfranc injuries in adolescents are likely to cause constant harm, even if the anatomical reduction is achieved.

Cited by 16 publications

References 16 publications

Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm

Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm

Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation

Adolescent Lisfranc injury treated with TightRope^TM: A case report and review of literature

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Lisfranc Injury in Adolescents

Abstract: Lisfranc injuries in adolescents are likely to cause constant harm, even if the anatomical reduction is achieved.

Cited by 16 publications

References 16 publications

Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm

Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm

Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation

Adolescent Lisfranc injury treated with TightRopeTM: A case report and review of literature

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Adolescent Lisfranc injury treated with TightRope^TM: A case report and review of literature