Advertisement

Lisfranc’s and Midfoot Injuries

  • Amol Saxena

Abstract

Injuries to the Lisfranc’s (tarso-metatarsal) and midfoot (Chopart’s and naviculo-cuneiform) joints are being more recognized with sports injuries.1-4 Historically, these injuries occurred with higher energy trauma such as equestrian accidents and motor vehicle accidents.5-8 Overt traumatic loading and plantarflexion of the forefoot can cause fracture-dislocation of the midfoot, but often subtle sprains and diastasis may not be noted unless weight-bearing films and another diagnostics such as computed tomography (CT) and magnetic resonance imaging (MRI) scans are performed.6

Keywords

Screw Fixation Arch Height High Energy Trauma Medial Cuneiform Primary Fusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Curtis M, Myerson M, Szura B. Tarsometatarsal joint injuries in the athlete. Am J Sports Med. 1993;21(4):497-502.PubMedCrossRefGoogle Scholar
  2. 2.
    Harwood M, Raikin S. A Lisfranc fracture dislocation in a football player. J Am Board Fam Pract. 2003;16(1):69-72.PubMedCrossRefGoogle Scholar
  3. 3.
    Nunley J, Vertullo C. Classification, investigation and management of midfoot sprains: Lisfranc injuries in the athlete. Am J Sports Med. 2002;30(6):871-878.PubMedGoogle Scholar
  4. 4.
    Saxena A. Bioabsorbable screws for reduction of Lisfranc’s diastasis in athletes. J Foot Ankle Surg. 2005;44(6):445-449.PubMedCrossRefGoogle Scholar
  5. 5.
    Thordarson DB, Hurvitz G. PLA screw fixation of Lisfranc injuries. Foot Ankle Int. 2002;23:1003-1007.PubMedGoogle Scholar
  6. 6.
    Peicha G, Preidler KW, Lajtai G, Seibert FJ, Grechenig W. Diagnostic value of conventional roentgen image, computerized and magnetic resonance tomography in acute sprains of the foot. A prospective clinical study. Unfallchirurg. 2001;104(12):1134-1139.PubMedCrossRefGoogle Scholar
  7. 7.
    Mulier T, Reynders P, Dereymacker G, Broos P. Severe Lisfrancs injuries: primary arthrodesis or ORIF? Foot Ankle Int. 2002;23(10):902-905.PubMedGoogle Scholar
  8. 8.
    DeOrio M, Erickson M, Usuelli F, Easley M. Lisfranc injuries in sport. Foot Ankle Clin. 2009;14(2):169-186.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of Sports MedicinePAFMG-Palo Alto DivisionPalo AltoUSA

Personalised recommendations