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Lisfranc Fracture Dislocation

Lisfranc fracture-dislocation is a tarsometatarsal dislocation due to hyperplantar flexion over fixed forefoot; 20% are missed.

Causes

Causes include a blow to the foot such as occurred with Lisfranc’s soldier or in certain athletic injuries.

  • Mechanism involves severe plantar flexion of the foot
  • May occur from sports-related injuries
  • Automobile accidents
  • Falling from a height, down stairs.
  • Ligamentous injuries alone, even without fracture or dislocation, may result in instability on weightbearing

Signs

  • Midfoot pain
  • Midfoot swelling
  • Difficulty ambulating

Treatment

The potential difficulties in treatment and the complications that a Lisfranc injury can lead to, early diagnosis and treatment is essential. There is no consensus on treatment when the diagnosis has been delayed. Treatments such as includes:

  • Six weeks in a short-leg walking cast or splint, for non-displaced fractures
  • Use of a rigid arch support
  • Surgery
   
   

 
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