title: Lisfranc injury in the athlete: evidence supporting management from sprain to fracture dislocation.
abstract: Although Lisfranc injuries are uncommon, prompt and accurate diagnosis of such injuries in athletes is essential in preventing career-ending injury. Undisplaced injuries have an excellent result with nonoperative treatment. The presence of any displacement warrants open reduction and anatomic fixation; although current evidence mostly supports screw fixation, plate fixation may avoid joint intrusion. It is imperative to warn athletes with significantly displaced injuries that there is a risk of a poor outcome, although some recent evidence suggests that return to elite competitive sports is still likely after surgical intervention. Severe injuries may have better outcomes with limited arthrodesis.
authors.affiliation: Department of Trauma and Orthopaedics, St Mary's Hospital, Praed Street, London W2 1NY, UK. akis22@gmail.com
authors.forename: Kyriacos I
authors.initials: KI
authors.lastname: Eleftheriou
authors.forename: Peter F
authors.initials: PF
authors.lastname: Rosenfeld
mesh_terms: D056352:Athletes; D001265:Athletic Injuries / Q000175:diagnosis* / Q000601:surgery; D019317:Evidence-Based Medicine; D018409:Foot Injuries / Q000175:diagnosis* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000601:surgery; D013180:Sprains and Strains / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome