Lisfranc fracture dislocation involves injury to the bony and soft tissue structures of the tarsometatarsal joint. While stable injuries can be immobilized in emergency departments and discharged quickly. Unstable injuries require an orthopedic referral for consideration of surgical fixation. This article briefly discusses Lisfranc fracture and its management. Lisfranc joint injuries are rare and complex injuries.
While it is most commonly seen post high-velocity trauma, it can also present post minor trauma. Lisfranc fracture is often misdiagnosed in approximately 20% of cases. Most of the Lisfranc injuries present to EDs with pain particularly associated with weight bearing, swelling and post a characteristic mechanism of injury. Lisfranc fractures can happen through simple low-energy injuries, such as twisting the foot when falling. Moreover, falling from a great height and…
