Hyun Seok Yim; Sung Ha Hong; Ki Sun Sung

doi:10.12671/jkfs.2016.29.4.283

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Lisfranc Joint Injuries: Diagnosis and Treatment: Hyun Seok Yim, M.D., Sung Ha Hong, M.D., Ki Sun Sung, M.D., Ph.D.; Journal of the Korean Fracture Society 2016;29(4):283-293.
DOI: https://doi.org/10.12671/jkfs.2016.29.4.283
Published online: October 20, 2016

Department Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Address reprint requests to: Ki Sun Sung, M.D., Ph.D. Department of Orthopaedic Surgery, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea. Tel: 82-2-3410-1531·Fax: 82-2-3410-0061, kissung@gmail.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Injuries to the Lisfranc joint are relatively rare, but they are often misdiagnosed or inadequately treated, resulting in poor long-term outcomes. Understanding of anatomical structure and injury mechanism, careful clinical and radiographic evaluations are needed to recognize and treat Lisfranc joint injuries. In this article, we review the anatomy, biomechanics, injury mechanisms, injury classification, clinical presentation, radiographic evaluation, treatment, outcome, and complications of Lisfranc joint injuries.
Key words: Lisfranc joint injury, Tarsometatarsal joint injury

None.

REFERENCES

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Fig. 1

Quenu and Kuss classification of Lisfranc joint injuries. Data from the article of Quenu and Kuss (Rev Chir Paris 1909;39:281).10)

Fig. 2

Hardcastle & Myerson classification of Lisfranc joint injuries. Data from the article of Myerson (Orthop Clin North Am 1989;20:655-664).2)

Fig. 3

Nunley classification of Lisfranc joint injuries. Data from the article of Nunley and Vertullo (Am J Sports Med 2002;30:871-878).12)

Fig. 4

Plantar ecchymosis sign.

Fig. 5

Normal radiographic parameters of the Lisfranc joint on anteroposterior view, 30° oblique view, and lateral view.

Fig. 6

Fleck sign indicating avulsion of the Lisfranc ligament.

Fig. 7

(A) Normal radiographs on anteroposterior and oblique view in patient with persisting pain and discomfort. (B) Osteoarthritic changes at 1st, 2nd, and 3rd tarsometatarsal joint in single-photon emission computed tomographycomputed tomography. (C) Open reduction with internal fixation of Lisfranc joint injuries using mini plate & screw.

Fig. 8

Closed reduction with internal fixation for a subtle Lisfranc joint injury.

Fig. 9

Open reduction with internal fixation for Lisfranc joint injury using K-wire and cannulated screw.

Fig. 10

Open reduction with internal fixation for Lisfranc joint injury using mini plate & screw.

Figure & Data

REFERENCES

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Lisfranc Joint Injuries: Diagnosis and Treatment

J Korean Fract Soc. 2016;29(4):283-293. Published online October 31, 2016

DOI: https://doi.org/10.12671/jkfs.2016.29.4.283

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Lisfranc Joint Injuries: Diagnosis and Treatment

Fig. 1 Quenu and Kuss classification of Lisfranc joint injuries. Data from the article of Quenu and Kuss (Rev Chir Paris 1909;39:281).10)

Fig. 2 Hardcastle & Myerson classification of Lisfranc joint injuries. Data from the article of Myerson (Orthop Clin North Am 1989;20:655-664).2)

Fig. 3 Nunley classification of Lisfranc joint injuries. Data from the article of Nunley and Vertullo (Am J Sports Med 2002;30:871-878).12)

Fig. 4 Plantar ecchymosis sign.

Fig. 5 Normal radiographic parameters of the Lisfranc joint on anteroposterior view, 30° oblique view, and lateral view.

Fig. 6 Fleck sign indicating avulsion of the Lisfranc ligament.

Fig. 7 (A) Normal radiographs on anteroposterior and oblique view in patient with persisting pain and discomfort. (B) Osteoarthritic changes at 1st, 2nd, and 3rd tarsometatarsal joint in single-photon emission computed tomographycomputed tomography. (C) Open reduction with internal fixation of Lisfranc joint injuries using mini plate & screw.

Fig. 8 Closed reduction with internal fixation for a subtle Lisfranc joint injury.

Fig. 9 Open reduction with internal fixation for Lisfranc joint injury using K-wire and cannulated screw.

Fig. 10 Open reduction with internal fixation for Lisfranc joint injury using mini plate & screw.