Low-Energy Lisfranc Injuries in an Athletic Population: A Comprehensive Review of the Literature and the Role of Minimally Invasive Techniques in Their Management

Mario I Escudero; Michael Symes; Andrea Veljkovic; Alastair S E Younger

doi:10.1016/j.fcl.2018.07.014

Low-Energy Lisfranc Injuries in an Athletic Population: A Comprehensive Review of the Literature and the Role of Minimally Invasive Techniques in Their Management

Foot Ankle Clin. 2018 Dec;23(4):679-692. doi: 10.1016/j.fcl.2018.07.014. Epub 2018 Sep 24.

Authors

Mario I Escudero¹, Michael Symes¹, Andrea Veljkovic¹, Alastair S E Younger²

Affiliations

¹ Department of Orthopaedics, Division of Distal Extremities, University of British Columbia, Suite 221, 181 Keefer Street, Vancouver, BC V6B 6C1, Canada.
² Department of Orthopaedics, Division of Distal Extremities, University of British Columbia, Suite 221, 181 Keefer Street, Vancouver, BC V6B 6C1, Canada. Electronic address: asyounger@shaw.ca.

PMID: 30414660
DOI: 10.1016/j.fcl.2018.07.014

Abstract

Tarsometatarsal (TMT) joint complex injuries can be caused by either direct or indirect injuries. The Lisfranc joint represents approximately 0.2% of all fractures. Up to 20% of these injuries are misdiagnosed or missed on initial radiographic assessment; therefore, a high index of suspicion is needed to accurately diagnose TMT joint injuries and avoid the late sequelae of substantial midfoot arthrosis, pain, decreased function, and loss of quality of life. This review discusses the anatomy, diagnosis, and management of athletic Lisfranc injuries, including a description of the preferred minimally invasive surgical techniques used by the senior author of this article.

Keywords: Arthroscopy; Lisfranc injuries management; Midfoot fusion; Minimally invasive surgery; Open reduction and internal fixation.

Publication types

Review

MeSH terms

Arthrodesis*
Athletic Injuries / diagnosis
Athletic Injuries / surgery*
Foot Joints / injuries*
Fracture Fixation*
Humans
Intra-Articular Fractures / diagnosis
Intra-Articular Fractures / etiology
Intra-Articular Fractures / surgery*
Minimally Invasive Surgical Procedures*