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Lisfranc injuries
Published in Maneesh Bhatia, Essentials of Foot and Ankle Surgery, 2021
In high energy injury the diagnosis is usually obvious. However, in subtle or indirect injuries, the diagnosis may not be so obvious. Patients may complain of midfoot pain whilst bearing weight or during strenuous activities. The midfoot may be swollen and some patients will present with bruising on the plantar aspect of the midfoot, a sign which is highly associated with a Lisfranc injury (Figure 16.8) (14).
Biomechanics and Joint Replacement of the Foot and Ankle
Published in Manoj Ramachandran, Tom Nunn, Basic Orthopaedic Sciences, 2018
Rohit Madhav, Amit Amin, Deborah Eastwood, Dishan Singh
The midfoot functions as a rigid lever converting hindfoot forces into forefoot propulsive forces during the gait cycle, and therefore stability is essential in this region. Following a Lisfranc injury that is missed or not reduced, a flat-foot deformity results with or without instability.
Test Paper 6
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
Lisfranc injury is a fracture dislocation of the tarso-metatarsal joints in a dorsolateral direction. The second metatarsal is held in a mortise formed by the medial and lateral cuneiform bones. Transverse metatarsal ligaments, both on the plantar and dorsal surfaces, connect the second to fifth metatarsals proximally. There is no transverse ligament between the first and second metatarsal. The plantar ligaments are stronger; hence most dislocations occur dorsally. If there is medial dislocation of the first metatarsal and lateral dislocation of the remaining metatarsals, it is considered a divergent type of Lisfranc injury. If the alignment of the first metatarsal is normal, or if it displaces laterally along with the remaining metatarsals, it is considered the homolateral type. On AP radiography of the foot, the medial aspect of the second metatarsal and middle cuneiform bone should align and, on the oblique view, the medial aspect of the third metatarsal and the lateral cuneiform bone should align.
Pedobarographic, Clinic, and Radiologic Evaluation after Surgically Treated Lisfranc Injury
Published in Journal of Investigative Surgery, 2021
Engin Eceviz, Hüseyin Bilgehan Çevik, Orhan Öztürk, Tuğçe Özen, Tuğba Kuru Çolak, İlker Çolak, Mine Gülden Polat
In a pedobarographic study of patients with Lisfranc injury by Schepers et al., there was shown to be an increase in the contact surface of the midfoot and forefoot, and increased pressure in the midfoot [16]. However, in the current study, there was found to be decreased contact surface of the midfoot. Consequently, the patients in the Schepers et al.’s study had pes planus, while the current study patients had cavus after Lisfranc injury. A possible reason for the difference between the two studies could be due to patient population characteristics. In the previous study, half of the 26 patients were treated surgically (n = 13; 9 open reduction and internal fixation, and 4 closed reduction and percutaneous pinning) and the other half (n = 13) with cast only. In the present study, all 68 patients were treated with open reduction and internal fixation. This was provided us more homogeneous population for the present study.
Lisfranc injury: Prevalence and maintaining a high index of suspicion for optimal evaluation
Published in The Physician and Sportsmedicine, 2022
Michael C. Meyers, James C. Sterling
The majority of midfoot trauma occurring to offensive and defensive lineman (16.7% to 17.9%), as well as linebackers (15.4%) was similar to prior findings in collegiate and professional American football [2,8]. When one considers the heaviest player weights are typically found among linemen, as well as the additional challenge while combating opponents of similar weight, this may exacerbate loading forces to the foot. As mentioned above, changes in the game along with the increasing strength and size of collegiate athletes would also contribute to musculoskeletal compromise. Although others have noted a greater predisposition to Lisfranc injury among quarterbacks [2], the incidence of midfoot trauma at this position remained low (2.6%).