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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.
In runners, march fracture occurs most often in the metatarsal neck, while in dancers it occurs in the proximal shaft. In ballet dancers, fracture mostly occurs at the base of the second metatarsal and at Lisfranc joints. This fracture always occurs following a prolonged stress or weight bearing, and the history of direct trauma is very rare.
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 ...
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Oblique view X-ray in a 45-year-old male diabetic revealed a divergent, Lisfranc dislocation of the first metatarsal with associated lesser metatarsal fractures. The same 45-year-old man with diabetes mellitus presented with a diffusely swollen, warm and non-tender left foot due to Charcot arthropathy. There are no changes to the skin itself.
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The Lisfranc ligament maintains proper alignment between the metatarsal bones and the tarsal bones. [3] It acts as a shock absorber during the weight bearing phase of the bipedal gait cycle. [3] It also compensates for the lack of an intermetatarsal ligament between the first metatarsal bone and the second metatarsal bone. [3]