Lisfranc's fracture-dislocation. A review of the literature and case reports

Kaplan, Jonathan D.; Jm, Karlin; Scurran, B L; Daly, Nicholas

doi:10.7547/87507315-81-10-531

Cited by 19 publications

(11 citation statements)

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“…Unfortunately, up to 20 % of Lisfranc injuries (typically low energy) are missed on initial standard nonweight-bearing examinations [18] and delayed treatment leads to midfoot instability and osteoarthritis.…”

Section: Lisfranc Jointmentioning

confidence: 98%

Review of supplemental views and stress radiography in musculoskeletal trauma: lower extremity

et al. 2015

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The standard radiographic series is not always sufficient to diagnose and characterize subtle musculoskeletal injuries. Missed or delayed diagnoses can negatively affect patient acute morbidity and long-term outcomes. Similarly, management based on erroneous diagnoses may lead to unnecessary treatment and restrictions. Body-part- or joint-specific supplemental radiographic views and stress radiography offer an alternative for further evaluation of subtle injuries in specific clinical situations and may obviate the need for the added cost and potential ionizing radiation exposure of further cross-sectional imaging. Familiarity with these complementary exams allows radiologists to play an important role in patient care, as their utilization can improve diagnostic accuracy, clarify subtle or uncertain findings, and direct timely patient management. This review highlights important supplemental views and stress radiographic examinations useful in the evaluation of emergent lower extremity musculoskeletal trauma.

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Section: Lisfranc Jointmentioning

confidence: 98%

Review of supplemental views and stress radiography in musculoskeletal trauma: lower extremity

et al. 2015

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“…esti mated that almost 40% of Lisfranc fracture dislocations in polytrauma patients are unrecognized. How ever, even with accurate diagnosis and early treatment, these injuries can result in chronic disability [9,10]. The aim of surgery is to restore length and alignment of the midfoot, and therefore maintain the relationship between the hind-, mid-and forefoot.…”

Section: Discussionmentioning

confidence: 99%

Midterm Functional Outcome after Operative Management of Midfoot Injuries.

Latoo

Wani

Farooq

et al. 2014

Ortop Traumatol Rehabil

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SUMMARYBackground. Injuries of the midfoot are often missed and therefore underestimated. Early diagnosis and treatment are crucial for the final outcome. The primary aim of this study was to assess the pattern and results of early operative management of mid-foot injuries after a midterm follow up.Material and methods. This study was conducted on 25 patients (19 Males, 6 Females ) with mean age of 34.6 years (range 18-60 years) with mid-foot fracture dislocations who were admitted consecutively at our centre from May 2008 through November 2010. 25 patients fulfilling our inclusion criteria with mid-foot fracture dislocations were included in this study. Mechanism of injury, its pattern and results of operative management of midfoot injuries were assessed after acute management of these fractures on urgent basis. Evaluation of results was done by AOFAS Score.Results. Most common mode of injury was indirect trauma due to fall (n=12) followed by road traffic accident (n=9). Males (n=19) outnumbered females (n=6). The pattern of injuries requiring operative treatment as per our criteria were Lisfranc fracture dislocations (n=22) and navicular fractures (n=3). The mean follow up was 3.2 years and mean AOFAS score at 3.2 years was 78.36, with most patients losing points to pain and decreased recreational function.Conclusion. The Lisfranc fracture dislocations are the most common injuries around midfoot requiring operative treatment, and we believe that operative treatment considerably improves functional outcome in these injuries.

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“…The initial challenge is to arrive at an accurate and timely diagnosis, which is often difficult but appears important for a successful outcome. 36 Once the diagnosis of a subtle TMT injury is made, the clinician is often faced with another dilemma as to whether conservative or surgical management is the FIGURE 5. Taping technique for Lisfranc injury.…”

Section: Discussionmentioning

confidence: 99%

“…36 In subtle athletic injuries, the Lisfranc ligament, or weaker dorsal TMT ligaments, are the most common sites of injury, 15,43,55,68 and on occasion concomitant fracture of the midfoot bones may occur. 76 Soft tissue Lisfranc injuries cause painful instability of the foot during the push-off phase of gait as the forefoot is loaded (ie, reproducing the position of Lisfranc injury).…”

mentioning

confidence: 99%

Conservative Management of Subtle Lisfranc Joint Injury: A Case Report

Wadsworth¹,

Eadie²

2005

J Orthop Sports Phys Ther

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Study Design: Case report. Background: Athletic Lisfranc injuries are characterized by disruption of the soft tissues about the tarsometatarsal joint complex. They are frequently missed on initial consultation due to a paucity of demonstrable physical signs, yet often result in significant disability. This case illustrates the 2 great challenges in managing these injuries: firstly, arriving at an accurate diagnosis and, secondly, determining whether the injury is stable and, therefore, appropriate for conservative management. Case Description: The athlete was a 21-year-old professional basketball player with a recurrent ligamentous injury of the Lisfranc joint. A global approach to evaluation and treatment of the entire lower extremity and pelvis in managing this injury is emphasized. Outcomes: The athlete in this case report made a successful return to his previous level of competition 12 weeks postinjury. At 2-year follow-up he continues to play professionally without any symptoms. Discussion: In selected cases for which patients have no osseous displacement and the ability to run on the toes soon after injury, conservative management of Lisfranc injury may be appropriate. Key features of a conservative approach include recognition of a prolonged recovery time, adequate rest for soft tissue healing, restoration of a normal gait pattern to prevent chronic overstress of injured tissues, appropriate orthotic prescription, and proprioceptive retraining. Ther 2005;35:154-164. J Orthop Sports Phys

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Lisfranc's fracture-dislocation. A review of the literature and case reports

Cited by 19 publications

References 0 publications

Review of supplemental views and stress radiography in musculoskeletal trauma: lower extremity

Review of supplemental views and stress radiography in musculoskeletal trauma: lower extremity

Midterm Functional Outcome after Operative Management of Midfoot Injuries.

Conservative Management of Subtle Lisfranc Joint Injury: A Case Report

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