Lisfranc Injuries
Lisfranc joint = tarsometatarsal articulation; key stabilizer = Lisfranc ligament (medial cuneiform to 2nd MT base). Mechanism: axial load with plantar flexion/twist. Diagnosis: widening between 1st–2nd MT, fleck sign; CT confirms. Treatment: stable injuries = cast; displaced = ORIF (screws/plates) or fusion. Complications: post-traumatic arthritis, chronic pain.
Practised by MCQ
10What is the primary stabilizer of the Lisfranc joint complex?
mcqWhich mechanism of injury is most commonly associated with Lisfranc injuries?
mcqWhich radiographic sign is considered classic for diagnosing a Lisfranc injury?
mcqWhat is the appropriate initial management for a stable Lisfranc injury?
mcqWhich classification system is commonly used for Lisfranc injuries?
mcqWhat is the most common complication following untreated Lisfranc injuries?
mcqIn which case would primary arthrodesis be indicated for a Lisfranc injury?
mcqWhat does the 'fleck sign' indicate in the context of Lisfranc injuries?
mcqWhat is the best imaging modality to confirm a diagnosis of Lisfranc injury?
mcqWhat is the typical clinical presentation of a patient with a Lisfranc injury?