Historically, Lisfranc or tarsometatarsal fractures were seen mostly in adults and rarely in the pediatric population. With more detailed imaging techniques such as magnetic resonance imaging (MRI) and a higher suspicion for injury, these fractures are now being seen more commonly in children, especially athletes. Generally, patients do well with nonoperative treatment and a period of nonweight bearing and cast immobilization. For significantly displaced injuries, closed reduction should be attempted and open reduction internal fixation or percutaneous pinning undertaken if the injury continues to be unstable. Anatomical restoration is the key for expected overall good outcomes.
References and Suggested Readings
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