Journal List > J Korean Foot Ankle Soc > v.20(3) > 1043384

Lee: Lisfranc Joint Injury

Abstract

The Lisfranc joint complex is an anatomical association of many bones and articulation, restrained by an even more complex network of ligaments, capsules, and fascia, which must work in concert to provide normal and painless motion. Careful diagnostic workup with high-quality radiographs and computed tomography of the foot are used to diagnose injuries and fractures of this complex. We have to understand the normal anatomy and injury mechanism in order to appropriately treat Lisfranc injuries. Good results have been associated with anatomic reductions of all bones, which was achieved with restoration of proper alignment.

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Figure 1.
Direct mechanisms of Lisfranc injuries. Application of a direct force (A) dorsally to the base of the metatarsals can elicit plantar disruption of the Lisfranc joint (B). Application of the dorsal force (C) slightly more proximally can create a dorsal dislocation (D).
jkfas-20-106f1.tif
Figure 2.
The second intermetatarsal space (solid line) aligns itself precisely with the corresponding intertarsal space between the middle and lateral cuneiforms. The third intermetatarsal space (dotted line) is continuous with the corresponding intertarsal space between the lateral cuneiform and cuboid, and the lateral border of the third metatarsal aligns itself to the lateral edge of the lateral cuneiform.
jkfas-20-106f2.tif
Figure 3.
First, second, third tarsometatarsal joints were fixed with screws and fourth, fifth tarsometatarsal joints were fixes with Kirschner wires.
jkfas-20-106f3.tif
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