Subtle Lisfranc Injuries: A Topical Review and Modification of the Classification System

Orthopedics. 2018 Mar 1;41(2):e168-e175. doi: 10.3928/01477447-20180213-07. Epub 2018 Feb 19.

Abstract

Lisfranc injuries are relatively uncommon. No specific incidence of subtle injuries has been reported; however, almost one-third are missed on initial review. These missed injuries are a common cause of litigation. Although seen in high-energy injuries with direct application of forces, they are also associated with lower-energy indirect mechanisms, often on the athletic field. This article provides a topical review of subtle Lisfranc disruptions, focusing on contemporary perspectives, and describes a modification to the most prevalent classification system. [Orthopedics. 2018; 41(2):e168-e175.].

Publication types

  • Review

MeSH terms

  • Arthritis / diagnosis
  • Arthritis / diagnostic imaging
  • Athletic Injuries / diagnosis
  • Athletic Injuries / diagnostic imaging
  • Foot Injuries / diagnosis*
  • Foot Injuries / diagnostic imaging*
  • Fractures, Bone / diagnosis*
  • Fractures, Bone / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging
  • Metatarsal Bones
  • Muscle, Skeletal / anatomy & histology
  • Orthopedics / methods*
  • Radionuclide Imaging
  • Risk Factors
  • Severity of Illness Index
  • Stress, Mechanical
  • Tomography, X-Ray Computed
  • Treatment Outcome