Lisfranc injuries in sport.
Injuries to the Lisfranc ligament complex have traditionally been associated with high energy trauma such as motor vehicle collisions and industrial accidents. Recently, there has been a greater appreciation of mid-foot sprains that represent a spectrum of injury to the Lisfranc ligament complex. As a result, there has been an increased incidence of such injury resulting from low-energy trauma in activities ranging from recreational activity to elite athletic activity. This article discusses issues related to anatomy, clinical presentation, mechanism of injury, and diagnosis that are necessary to provide appropriate treatment for these injuries. There should be a high index of suspicion of this injury, and prompt diagnosis is important to allow athletes to return to sport with the best possible outcome.
DeOrio
Matthew
M
The Orthopaedic Center, Huntsville, AL 35801, USA.
Erickson
Melissa
M
Usuelli
Federico Giuseppe
FG
Easley
Mark
M
D001174:Arthrodesis; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D001860:Bone Plates; D001863:Bone Screws; D033023:Foot Joints / Q000293:injuries*; D005545:Forefoot, Human / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D008023:Ligaments, Articular / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008682:Metatarsal Bones / Q000293:injuries; D011859:Radiography; D013180:Sprains and Strains / Q000145:classification / Q000453:epidemiology