Lisfranc injury - Revision history

Rossdonaldson1: /* Background */

2023-03-22T20:55:34Z

Background

← Older revision		Revision as of 20:55, 22 March 2023
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	==Background==		==Background==
			[[File:Foot_Bones.jpg\|thumb\|Bones of the foot.]]
	*Lisfranc Injury = any fracture or dislocation of the tarsal-metatarsal joint		*Lisfranc Injury = any fracture or dislocation of the tarsal-metatarsal joint
	*Lisfranc ligament attaches 2nd metatarsal to medial cuneiform		*Lisfranc ligament attaches 2nd metatarsal to medial cuneiform

2019-09-18T05:15:29Z

Complications

← Older revision		Revision as of 05:15, 18 September 2019
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	==Complications==		==Complications==
	*~~Must rule-out compartment~~ syndrome		*[[Compartment syndrome]]

	==See Also==		==See Also==

2019-09-18T05:15:12Z

Treatment & Disposition

← Older revision		Revision as of 05:15, 18 September 2019
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	==Treatment & Disposition==		==Treatment & Disposition==
	''Most Lisfranc fractures require eventual surgery''		''Most Lisfranc fractures require eventual surgery''
			{{General Fracture Management}}

			===Specific Management===
	*Sprains and non-displaced fractures:		*Sprains and non-displaced fractures:
	**Non-weightbearing splint with ortho follow up (most managed with cast x 6 weeks)		**Non-weightbearing splint with ortho follow up (most managed with cast x 6 weeks)

2017-08-08T22:24:02Z

Treatment & Disposition

← Older revision		Revision as of 22:24, 8 August 2017
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	*Displaced fractures:		*Displaced fractures:
	**Emergent ortho consult		**Emergent ortho consult
			**When diagnosed appropriately, patients who undergo open reduction and internal fixation of fractures have superior outcomes to those with purely ligamentous injury.<ref>Sherief, T et al. Lisfranc injury: How frequently does it get missed? And how can we improve? Injury: International Journal of the Care of the Injured 2007: 34; 856-860. PMID: 17214988</ref>

	==Complications==		==Complications==

2017-07-24T01:13:34Z

Text replacement - "==References== " to "==References== <references/> "

2016-07-22T12:31:59Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 12:31, 22 July 2016
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	{{Foot and toe fractures DDX}}		{{Foot and toe fractures DDX}}

	==~~Diagnosis~~==		==Evaluation==
	[[File:Lisfranc.jpg\|thumb\|Lisfranc injury]]		[[File:Lisfranc.jpg\|thumb\|Lisfranc injury]]
	''Fracture of base of second metatarsal is pathognomonic''		''Fracture of base of second metatarsal is pathognomonic''

2016-07-14T02:00:57Z

Diagnosis

← Older revision		Revision as of 02:00, 14 July 2016
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	''Fracture of base of second metatarsal is pathognomonic''		''Fracture of base of second metatarsal is pathognomonic''
	*AP		*AP
	**Medial margin of 2nd metatarsal base ~~doesn't~~ align with medial margin of 2nd cuneiform		**Medial margin of 2nd metatarsal base does not align with medial margin of 2nd cuneiform
	**Bony displacement 1mm or greater between bases of first and second metatarsals is considered unstable		**Bony displacement 1mm or greater between bases of first and second metatarsals is considered unstable
	*Oblique		*Oblique
	**Medial margin of 3rd metatarsal ~~doesn't~~ align with medial margin of 3rd cuneiform		**Medial margin of 3rd metatarsal does not align with medial margin of 3rd cuneiform
	*Lateral		*Lateral
	**2nd metatarsal is higher than middle cuneiform (step-off)		**2nd metatarsal is higher than middle cuneiform (step-off)

2016-07-13T15:26:14Z

Text replacement - "f/u" to "follow up"

← Older revision		Revision as of 15:26, 13 July 2016
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	''Most Lisfranc fractures require eventual surgery''		''Most Lisfranc fractures require eventual surgery''
	*Sprains and non-displaced fractures:		*Sprains and non-displaced fractures:
	**Non-weightbearing splint with ortho ~~f/u~~ (most managed with cast x 6 weeks)		**Non-weightbearing splint with ortho follow up (most managed with cast x 6 weeks)
	**[[Posterior Ankle Splint]]		**[[Posterior Ankle Splint]]
	*Displaced fractures:		*Displaced fractures:

2016-07-03T02:02:45Z

Text replacement - "fx " to "fracture "

← Older revision		Revision as of 02:02, 3 July 2016
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	==Background==		==Background==
	*Lisfranc Injury = any fx or dislocation of the tarsal-metatarsal joint		*Lisfranc Injury = any fracture or dislocation of the tarsal-metatarsal joint
	*Lisfranc ligament attaches 2nd metatarsal to medial cuneiform		*Lisfranc ligament attaches 2nd metatarsal to medial cuneiform
	**2nd metatarsal is held in mortice created by the three cuneiform bones		**2nd metatarsal is held in mortice created by the three cuneiform bones

2016-04-01T13:55:45Z

Diagnosis

← Older revision		Revision as of 13:55, 1 April 2016
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	==Diagnosis==		==Diagnosis==
	[[File:Lisfranc.jpg\|thumb\|Lisfranc injury]]		[[File:Lisfranc.jpg\|thumb\|Lisfranc injury]]
	*Fracture of base of second metatarsal is pathognomonic		''Fracture of base of second metatarsal is pathognomonic''
	*AP		*AP
	**Medial margin of 2nd metatarsal base doesn't align with medial margin of 2nd cuneiform		**Medial margin of 2nd metatarsal base doesn't align with medial margin of 2nd cuneiform