title: Lisfranc Injuries: When to Observe, Fix, or Fuse.
abstract: Injuries to the foot are common in the athletic population, accounting for approximately 16% of sporting injuries. The bony and ligamentous structures around the first and second tarsometatarsal (TMT) joints, or Lisfranc joint complex, are the most commonly involved in injuries to the midfoot because of the limited static and dynamic stability of this region. The appropriate management of Lisfranc or TMT joint injuries in athletes is controversial, with multiple classification schemes and treatment methods and little evidence-based guidelines to deliver appropriate care. This article reviews the current diagnosis and management principles for TMT injuries in the athletic population.
authors.affiliation: Twin Cities Orthopedics, 4010 West, 65th Street, Edina, MN 55435, USA. Electronic address: jseybold@tcomn.com.
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Seybold
authors.affiliation: Twin Cities Orthopedics, 4010 West, 65th Street, Edina, MN 55435, USA.
authors.forename: J Chris
authors.initials: JC
authors.lastname: Coetzee
mesh_terms: D001174:Arthrodesis; D001265:Athletic Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005528:Foot / Q000033:anatomy & histology; D018409:Foot Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008023:Ligaments, Articular / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000293:injuries*; D011182:Postoperative Care; D011859:Radiography; D000068958:Return to Sport
keywords: Arthrodesis; Athlete; Instability; Lisfranc; Tarsometatarsal joint