Lisfranc Injuries: Difference between revisions

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== Diagnostic Procedures  ==
== Diagnostic Procedures  ==


add text here relating to diagnostic tests for the condition<br>  
Currently, there are no specific clinical tests to confirm the extent of an injury. Therefore, diagnosis of ligmentous injuries may be based on a high level of suspicion.&nbsp;In suspected Lisfranc injuries,&nbsp;use of imaging modalities is warrented.&nbsp;Recommended radiographs include anteroposterior, lateral, and 30 degree internal oblique projections in weightbearing.&nbsp;<ref>Wadsworth and Eadie</ref>&nbsp;<br>


== Outcome Measures  ==
== Outcome Measures  ==

Revision as of 18:28, 1 December 2009

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Clinically Relevant Anatomy
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The Lisfranc joints are tarsometaral articulations. In the normal Lisfranc joint complex, first 3 metatarsal bases articulate with their respective cuneiforms, and the lateral 2 metatarsals articulate with the cuboid. The second metatarsal base is tightly recessed in a mortise formed by the 3 cuneiform bones. The intertarsal ligaments, dorsal and plantar tarsalmetatarsal (TMT) ligaments, and transverse ligaments provide soft tissue stability.[1]

Mechanism of Injury / Pathological Process
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Injuries to the Lisfranc joint are usually the result of combined external rotation and compression force. Injuries can be caused by either direct or indirect trauma. Injuries to the joint are often missed due to anatomical complexity and rarity.[2]

Clinical Presentation[edit | edit source]

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Diagnostic Procedures[edit | edit source]

Currently, there are no specific clinical tests to confirm the extent of an injury. Therefore, diagnosis of ligmentous injuries may be based on a high level of suspicion. In suspected Lisfranc injuries, use of imaging modalities is warrented. Recommended radiographs include anteroposterior, lateral, and 30 degree internal oblique projections in weightbearing. [3] 

Outcome Measures[edit | edit source]

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Management / Interventions
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Differential Diagnosis
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Key Evidence[edit | edit source]

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Resources
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Case Studies[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Wadsworth and Eadie
  2. Nunley and Vertullo
  3. Wadsworth and Eadie