Treatment of Lisfranc joint injury: current concepts.
Injuries to the tarsometatarsal joint complex, also known as the Lisfranc joint, are relatively uncommon. However, the importance of an accurate diagnosis cannot be overstated. These injuries, especially when missed, may result in considerable long-term disability as the result of posttraumatic arthritis. A high level of suspicion, recognition of the clinical signs of injury, and appropriate radiographic studies are needed for correct diagnosis. When surgery is indicated, closed reduction with percutaneous screw fixation should be attempted. If reduction is questionable, open reduction should be performed. Screw fixation remains the traditional fixation technique.
The Columbia Orthopaedic Center, Las Vegas, NV, USA.
Troy S
TS
Watson
Paul S
PS
Shurnas
Jacques
J
Denker
D001174:Arthrodesis / Q000379:methods; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries*; D008279:Magnetic Resonance Imaging; D008682:Metatarsal Bones / Q000033:anatomy & histology; D008683:Metatarsophalangeal Joint / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D011859:Radiography; D014947:Wounds and Injuries / Q000503:physiopathology