J Korean Foot Ankle Soc.  2016 Sep;20(3):106-111. 10.14193/jkfas.2016.20.3.106.

Lisfranc Joint Injury

• Lee MJ

• KMID: 2351414
• DOI: http://doi.org/10.14193/jkfas.2016.20.3.106

Abstract

The Lisfranc joint complex is an anatomical association of many bones and articulation, restrained by an even more complex network of ligaments, capsules, and fascia, which must work in concert to provide normal and painless motion. Careful diagnostic workup with high-quality radiographs and computed tomography of the foot are used to diagnose injuries and fractures of this complex. We have to understand the normal anatomy and injury mechanism in order to appropriately treat Lisfranc injuries. Good results have been associated with anatomic reductions of all bones, which was achieved with restoration of proper alignment.

Keyword

Lisfranc injury; Lisfranc joint

MeSH Terms

Capsules
Fascia
Foot
Joints*
Ligaments
Capsules

Figure

• 

  Figure 1. Direct mechanisms of Lisfranc injuries. Application of a direct force (A) dorsally to the base of the metatarsals can elicit plantar disruption of the Lisfranc joint (B). Application of the dorsal force (C) slightly more proximally can create a dorsal dislocation (D).

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  Figure 2. The second intermetatarsal space (solid line) aligns itself precisely with the corresponding intertarsal space between the middle and lateral cuneiforms. The third intermetatarsal space (dotted line) is continuous with the corresponding intertarsal space between the lateral cuneiform and cuboid, and the lateral border of the third metatarsal aligns itself to the lateral edge of the lateral cuneiform.

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  Figure 3. First, second, third tarsometatarsal joints were fixed with screws and fourth, fifth tarsometatarsal joints were fixes with Kirschner wires.

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