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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.
Cuboid syndrome or cuboid subluxation describes a condition that results from subtle injury to the calcaneocuboid joint, [1] and ligaments in the vicinity of the cuboid bone, one of seven tarsal bones of the human foot. This condition often manifests in the form of lateral (little toe side) foot pain and sometimes general foot weakness.
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 ...
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.
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
Lisfranc fracture, with an increased distance between the medial cuneiform and the second metatarsal. The Lisfranc ligament connects the medial cuneiform bone to the second metatarsal. [2] It is a complex of 3 ligaments: the dorsal Lisfranc ligament, the interosseous Lisfranc ligament, and the plantar Lisfranc ligament. [2] [3]
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.
Only one muscle is attached to the cuboid bone; the tibialis posterior.The tibialis posterior inserts to the under surface of the cuboid bone. [2] While the flexor hallucis brevis arises, by a pointed tendinous process, from the medial part of the under surface of the cuboid bone, from the contiguous portion of the lateral cuneiform bone, and from the prolongation of the tendon of the tibialis ...
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