title: Effective detection and management of low-velocity Lisfranc injuries in the emergency setting: principles for a subtle and commonly missed entity.
abstract: OBJECTIVE
  To improve the ability of primary care physicians to recognize the mechanisms and common presentations of low-velocity Lisfranc injuries (LFIs) and to impart an improved understanding of the role of imaging and principles of primary care in low-velocity LFIs.
  
  
  METHODS
  A MEDLINE literature review was performed and the results were summarized, reviewing anatomy and mechanisms, clinical and imaging-based diagnoses, and management principles in the primary care setting.
  
  
  RESULTS
  Low-velocity LFIs result from various mechanisms and can have very subtle findings on clinical examination and imaging. A high degree of suspicion and caution are warranted when managing this type of injury.
  
  
  CONCLUSIONS
  Although potentially devastating if missed, if a few treatment principles for low-velocity LFIs are applied from the initial presentation onward, outcomes from this injury can be optimized.
authors.affiliation: Department of Orthopedic Surgery, University of Toronto, Ontario. djmayich@gmail.com
authors.forename: D Joshua
authors.initials: DJ
authors.lastname: Mayich
authors.forename: Michael S
authors.initials: MS
authors.lastname: Mayich
authors.forename: Timothy R
authors.initials: TR
authors.lastname: Daniels
mesh_terms: D003951:Diagnostic Errors / Q000517:prevention & control*; D003952:Diagnostic Imaging; D004636:Emergency Service, Hospital; D050723:Fractures, Bone / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000628:therapy; D008022:Ligaments / Q000293:injuries*; D008682:Metatarsal Bones / Q000293:injuries*; D010808:Physical Examination; D013165:Splints; D013640:Tarsal Joints / Q000293:injuries*; D016474:Weight-Bearing