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A Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus. [1] [2]The injury is named after Jacques Lisfranc de St. Martin, a French surgeon and gynecologist who noticed this fracture pattern amongst cavalrymen in 1815, after the War of the Sixth Coalition.
This is a shortened version of the seventeenth chapter of the ICD-9: Diseases of the Digestive System. It covers ICD codes 800 to 999. The full chapter can be found on pages 473 to 546 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1.
The tarsometatarsal joints (Lisfranc joints) are arthrodial joints in the foot. The tarsometatarsal joints involve the first, second and third cuneiform bones, the cuboid bone and the metatarsal bones. The eponym of Lisfranc joint is 18th–19th-century surgeon and gynecologist Jacques Lisfranc de St. Martin. [1]
The Lisfranc ligament is injured or disrupted in the Lisfranc fracture. Trauma to the midfoot is caused by direct and indirect impact forces. Direct force involves an object landing on the surface on the foot. Indirect force involves twisting of the foot, usually an impact to the heel while the foot is pointed down toward the ground. [4]
The Orthopaedic Trauma Association Committee for Coding and Classification initially published their classification system covering the whole skeleton in 1996. [5] In 2006 [6] they published a revision, unifying the Muller/AO and OTA systems into a single alphanumeric classification, which has been further updated in 2018: [7]
ICD-9 chapters; Chapter Block Title I 001–139: Infectious and Parasitic Diseases II 140–239: Neoplasms III 240–279: Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders
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[33] 46–84% of hip dislocations occur secondary to traffic accidents, the remaining percentage is due based on falls, industrial accidents or sporting injury. [25] Foot and Ankle: Lisfranc injury is a dislocation or fracture-dislocation injury at the tarsometatarsal joints