Journal List > J Korean Fract Soc > v.29(4) > 1038081

Yim, Hong, and Sung: Lisfranc Joint Injuries: Diagnosis and Treatment

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.

Figures and Tables

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)

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Fig. 2

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

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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)

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Fig. 4

Plantar ecchymosis sign.

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Fig. 5

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

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Fig. 6

Fleck sign indicating avulsion of the Lisfranc ligament.

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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.

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Fig. 8

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

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Fig. 9

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

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Fig. 10

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

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Notes

Financial support None.

Conflict of interest None.

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