Lisfranc Injuries

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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]

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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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References[edit | edit source]

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  1. Wadsworth and Eadie
  2. Nunley and Vertullo