Lisfranc injuries, also called Lisfranc fracture-dislocations, are the most common It is named after Jacques Lisfranc De Saint Martin (), the chief of. PDF | Estudo retrospectivo de 19 casos de fratura-luxação de Lisfranc tratados cirurgicamente no período de a O tempo de acompanhamento foi de . RESUMO Objetivo: Analisar o perfil de pacientes com lesões de Lisfranc, as características das lesões e fraturas associadas. Métodos: Trata-se de uma análise.

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Aitkem AP, Poulson D. What does a runners foot injury feel like? MRI was read by the University radiologist as a “partial Lisfranc ligament tear. J Bone Joint Am. In other projects Wikimedia Commons. In fratyra trauma, Lisfranc injuries occur commonly in activities such as windsurfingkitesurfingwakeboardingor snowboarding where appliance bindings pass directly over the metatarsals.


Fratuura mechanism of tarsometatarsal joint injuries. As described in literature, Lisfranc injuries are resultant from high-energy trauma 5,8,12, Lisfranc Open Reduction and Internal fixation. When a Lisfranc injury is characterized by significant displacement of the tarsometatarsal joint snonoperative treatment often leads to severe loss of function and long-term disability secondary to chronic pain and sometimes to a planovalgus deformity.


Brunet J, Wiley J. Eur J Orthop Surg Traumatol. Cuneiform or metatarsal base fractures may preclude the use of screws. Orthopedir Pitfalls in the ED: Radiographs are provided in figures A-C.

Support Radiopaedia and see fewer ads. Trimalleolar fracture Bimalleolar fracture Pott’s lusfranc. How can someone treat a hamstring injury? Is walking good for knee ligament injury?

Closed reduction and K-wire fixation of the first and second tarsometatarsal joints.

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Multiple classification schemes described none proven useful for determining treatment and prognosis. The knowledge of the relationships and of the radiologic anatomy of the foot is essential for diagnosis and treating those injuries 13, It was extremely painful to walk on it, though I did for a few days until it was properly diagnosed. Vuori J, Aro H. Routine x-ray film or image intensification can be used.


This is an observational and retrospective study of patients diagnosed with Lisfranc fracture-dislocation surgically treated in our service during the period of to However, it is sometimes difficult to insert the screw through the crowded area. Learn More at everquote.

Salvage of Lisfranc’s tarsometatarsal joint by arthrodesis. The significance is that motion at the base of the second metatarsal is restricted. Cannulated screws are not as strong and tend to break with repeated bending forces. Direct forces include a crush injury MVA or industrial or a direct blow. It was so named in homage to the French physician Jacques Lisfranc, who described an amputation of that joint.


Figure 5 We should be attentive to the fact that not always a radiographic sign of osteoarthrosis is correlated to worse clinical outcomes 12,14, Indirect injuries are more common. Such complications have as therapeutic indication the arthrodesis of the joint trying to fix occasional deformities 14, Some advocate the indication of intervention as early as possible to drain the hematoma, and to avoid compartmental syndrome, while others advocate a later intervention to allow the edema to reduce, thus avoiding dehiscence and skin necrosis 14, How would you treat the patient?

Open reduction and rigid internal fixation of the first to third tarsometatarsal joints and K-wire fixation of the fourth and fifth tarsometatarsal joints. With a negative stress image obtained in the office, how would you treat this patient?

Services on Demand Journal. Anatomy of the Lisfranc joint complex.

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