Updates on Lisfranc Complex Injuries

Alan Yan; Stephen R Chen; Xin Ma; Zhongmin Shi; MaCalus Hogan

doi:10.1177/2473011420982275

Updates on Lisfranc Complex Injuries

Foot Ankle Orthop. 2021 Jan 25;6(1):2473011420982275. doi: 10.1177/2473011420982275. eCollection 2021 Jan.

Authors

Alan Yan^{1

2}, Stephen R Chen^{1

2}, Xin Ma³, Zhongmin Shi⁴, MaCalus Hogan^{1

2}

Affiliations

¹ Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
² The Foot and Ankle Injury Research (FAIR) Group, University of Pittsburgh, Pittsburgh, PA, USA.
³ Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
⁴ Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Abstract

Lisfranc injuries are a disruption of one or more of the tarsometatarsal joints and have an estimated incidence of 1/55 000 people. However, the total number of Lisfranc injuries could be underreported, because almost 20% of these injuries are initially missed. Because of the relative infrequency of these injuries, the current literature is inconsistent in regard to proper treatment. This article provides a review of Lisfranc complex injuries including relevant anatomy, diagnosis, treatment, classifications, operative approaches, and outcomes and complications. Based on existing evidence, it also proposes an algorithm the authors prefer for the evaluation and treatment of Lisfranc complex injuries.

Keywords: Lisfranc; Lisfranc ligament; sports; tarsometatarsal joint; trauma.