Pediatric Lisfranc

  • Kerry L. LovelandEmail author
  • Kimberly Grannis
Living reference work entry


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

  1. Cassebaum W (1963) Lisfranc fracture-dislocations. Clin Orthop 30:116–128CrossRefPubMedGoogle Scholar
  2. Coss HM (1998) Abdution stress and AP weightbearing radiography of purely ligamentous injury in the tarsometataral joint. Foot Ankle Int 19(8):537–541CrossRefPubMedGoogle Scholar
  3. Desmond EA, Chou L (2006) Current Concepts review: Lisfranc injures. Foot Ankle Int 27(8):653–660CrossRefPubMedGoogle Scholar
  4. Goossens M, DeStoop N (1983) Lisfranc’s fracture-dislocations: etiology, radiology, and results of treatment. Clin Orthop Relat Res 176:154–162Google Scholar
  5. Hardcastle PR-L (1982) Injuries to the tartometatarsal joint: incidence, classification and treatment. J Bone Joint Surg Br 64(3):349–356CrossRefPubMedGoogle Scholar
  6. Johnson G (1981) Pediatric Lisfranc Injury: “bunk bed” fractrue. AJR Am J Roentgenol 137:1041–1044CrossRefPubMedGoogle Scholar
  7. Kay RT (2001) Pediatric foot fractures: evaluation and treatment. J Am Acad Orthop Surg 9:308–319CrossRefPubMedGoogle Scholar
  8. Kay R, Tang C (2001) Pediatric foot fractures: evaluation and management. J Am Acad Orthop Surg 9:308–319CrossRefPubMedGoogle Scholar
  9. Manoli AW (1990) Fasciotomy of the foot: an anatomical study with special reference to release of the calcaneal compartment. Foot Ankle 10:267–275CrossRefPubMedGoogle Scholar
  10. Mantas JP, Burks R (1994) Lisfran injures in the athlete. Clin Sports Med 13(4):719–730PubMedGoogle Scholar
  11. Myerson MF (1986) Fracture dislocations of teh tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle 6(5):225–242CrossRefPubMedGoogle Scholar
  12. Nunley JA, Vertullo CJ (2002) Classification, investigation, and management of midfoot sprains: Lisfranc injuries in the athlete. Am J Sports Med 30:871Google Scholar
  13. Peicha G, Labovitz J, Seibert FJ, Grechenig W, Weiglein A, Preidler KW, Quehenbreger F (2002) The anatomy of the joint as a risk factor for Lisfranc dislocation and fracture-dislocation: an anatomical and radiological case control study. J Bone Joint Surg Br 84:981–985Google Scholar
  14. Potter HD (1998) Magnetic resonance imaging of the Lisfranc ligament of the foot. Foot Ankle Int 19:438–446CrossRefPubMedGoogle Scholar
  15. Quenu EK (1909) Etude sur les luxations du metatarse (luxations metatarsotarsiennes) du diastasis entre le ler et le 2 metatarsien. Rev Chir 39:281Google Scholar
  16. Ross GC (1996) Plantar ecchymosis sign: a clinical aid to diagnosis of occult Lisfranc tarsometatarsal injuries. J Orthop Trauma 10(2):119–122CrossRefPubMedGoogle Scholar
  17. Solan MC, Moorman CT 3rd, Miyamoto RG, et al. (2001) Ligamentous restraints of the second tarsometatarsal joint: a biomechanical evaluation. Foot Ankle Int 22:637Google Scholar
  18. Stavalas PR (2010) The role of reduction and internal fixation of Lisfranc fracture-dislocations: a systematic review of the literature. Int Orthop 34(8):1083–1091CrossRefGoogle Scholar
  19. Tadros A, Al-Hussona M (2008) Bilateral tarsometatarsal fracture-dislocations: a missed work-related injury. Singap Med J 49(9):e234–e235Google Scholar
  20. Trevino SK (1995) Controversies in tarsometatarsal injuries. Orthop Clin North Am 26(2):229–238PubMedGoogle Scholar
  21. Wallin K (2016) Acute traumatic compartment syndrome in the pediatric foot: a systemic review and case report. J Foot Ankle Surg 55:817–820CrossRefPubMedGoogle Scholar
  22. Watson T, Shurnas P, Denker J (2010) Treatment of LisFranc joint injury: current concepts. J Am Acad Orthop Surg 18:718–728CrossRefPubMedGoogle Scholar
  23. Wiley J (1981) Tarso-metatarsal joint injuries in children. J Pediatr Orthop 1:255CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Valley Children’s HealthcareMaderaUSA
  2. 2.University of California San Francisco (UCSF-Fresno)FresnoUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of California San Francisco (UCSF-Fresno)FresnoUSA

Section editors and affiliations

  • L. Reid Nichols
    • 1
  1. 1.Nemours/Alfred I. duPont Hospital for ChildrenWilmingtonUSA

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