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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.
The pain may be observed in a controlled environment by standing on the toes or rolling the arches of the foot, as these motions tend to exercise the foot's calcaneocuboid joint and ligament, which are characteristically strained in a patient suffering from cuboid syndrome. [4] Also, the pain may come on suddenly or it may develop gradually and ...
While cuneiform fractures are fairly rare, the most commonly fractured cuneiform bone is the Medial cuneiform, typically the cause of a cuneiform fracture is by physical trauma (direct blow) to the cuneiform, as well as the result of an avulsion fracture and a result of axial load, [5] but can also be the result of a stress reaction that progressed with continued weight-bearing and physical ...
Treatment may be conservative or involve surgery, depending on the type of fracture. [1] They are rare. [1] If the cuboid bone is broken, then it is common for other bones in the foot to be broken or dislocated as well. [2] Cuboid fractures are associated with Lisfranc injuries. [2] Avulsion fracture of the cuboid on CT
The dorsal ligaments are strong, flat bands.. The first metatarsal is joined to the first cuneiform by a broad, thin band; the second has three, one from each cuneiform bone; the third has one from the third cuneiform; the fourth has one from the third cuneiform and one from the cuboid; and the fifth, one from the cuboid.
Indirect force involves twisting of the foot, usually an impact to the heel while the foot is pointed down toward the ground. [4] A mild form of this injury results in a widening of the gap between the first and second metatarsals. An extreme form of the a Lisfranc fracture causes a complete dislocation of the metatarsals from the tarsal bones.
The foot is usually dislocated medially (80%) and superiorly, which occurs when the foot is plantar flexed and inverted. Lateral displacement occurs during eversion injuries. Associated fractures of calcaneus, cuboid and navicular are frequent. Open fractures occur in a small percentage.
There are three cuneiform ("wedge-shaped") bones in the human foot: the first or medial cuneiform; the second or intermediate cuneiform, also known as the middle cuneiform; the third or lateral cuneiform; They are located between the navicular bone and the first, second and third metatarsal bones and are medial to the cuboid bone. [1]