User:Mr. Ibrahem/Lisfranc injury
| Lisfranc injury | |
|---|---|
| Other names | Lisfranc fracture, Lisfranc dislocation, Lisfranc fracture dislocation, tarsometatarsal injury, midfoot injury |
 | |
| An X-ray of a Lisfranc injury showing widening between the 1st and 2nd metatarsal base. | |
| Specialty | Orthopedics |
| Symptoms | Swelling, pain, and bruising of the midfoot[1][2] |
| Complications | Arthritis, chronic pain[1] |
| Types | Homolateral, divergent, isolated[3] |
| Causes | Injury[2] |
| Diagnostic method | X-ray or CT scan[4] |
| Treatment | Open reduction and internal fixation[4] |
| Prognosis | Healing may take months[2] |
| Frequency | Relatively uncommon[1] |
Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot involving the joints between the metatarsal bones and tarsus bones.[1][2] Symptoms may include swelling, pain, and bruising of the midfoot.[2][1] Symptoms are worsened by attempts to walk.[2] Without treatment complications may include arthritis and chronic pain.[1]
The cause may include twisting the foot, such as when playing sports, or more severe injuries such as a fall from heights.[2] Generally it occurs in people without specific risk factors, though those with diabetes are more commonly affected.[1] Diagnosis is by X-ray when weight bearing or CT scan.[4] The diagnosis should be suspected if midfoot pain lasts more than 5 days.[1]
Initial treatment may involved reduction, splinting, and keeping the foot elevated.[1] If the injury is unstable or displaced, surgery in the form of an open reduction and internal fixation is generally recommended.[4][1] Healing may take months.[2]
Lisfranc injuries are relatively uncommon, representing about 0.2% of fractures.[1] Middle aged males are most commonly affected.[1] It is named after Jacques Lisfranc de St. Martin, a French surgeon who noticed the injury among cavalry in 1815, following the War of the Sixth Coalition.[5][2]
References[edit]
- ^ a b c d e f g h i j k l Buchanan, BK; Donnally III, CJ (January 2021). "Lisfranc Dislocation". PMID 28846306.
{{cite journal}}: Cite journal requires|journal=(help) - ^ a b c d e f g h i "Lisfranc (Midfoot) Injury - OrthoInfo - AAOS". www.orthoinfo.org. Retrieved 9 March 2021.
- ^ Gaillard, Frank. "Lisfranc injury". Radiopaedia. Radiopaedia.org. Retrieved 9 March 2021.
- ^ a b c d "Fracture-Dislocation of the Midfoot (Lisfranc Injury) - Injuries; Poisoning". Merck Manuals Professional Edition. Retrieved 9 March 2021.
- ^ Lisfranc, J (1815). Nouvelle méthode opératoire pour l'amputation partielle du pied dans son articulation tarso-métatarsienne: méthode précédée des nombreuses modifications qu'a subies celle de Chopart (in French). Paris: L’imprimerie de Feuguery. pp. 1–52.