N°20 - November / December 2022
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Trauma to the Lisfranc joint
By Mejdi Ben Nasr, Maxime Lefèvre, Andréa Fernandez, Jean Hennequin, Laurent Galois in category EDUCATION
Centre Chirurgical Émile Gallé, 49 Rue Hermite, 54000 Nancy, France / [email protected]
Injuries to the Lisfranc joint (tarsometatarsal – TMT joint) come in different forms and vary in severity from ligament sprains to high energy comminuted fractures. Lisfranc injuries are relatively rare, but in the case of lack or delayed diagnosis, they can cause significant and painful course. A good knowledge of the anatomy and pathophysiology of the Lisfranc joint is necessary to correctly manage these injuries. The diagnosis is based on clinical examination, the type of trauma and imaging. Standard X-rays are essential but sometimes difficult to interpret, and they should be complemented by a CT scan. Their management requires resolutely surgical treatment even if in certain cases conservative management may be proposed. Treatment of Lisfranc injuries is demanding and remains a challenge even for the experienced orthopaedic surgeon. The patient must be informed of the seriousness of these lesions which can leave functional limitations even in the case of a well conducted treatment.
Historically, the importance of the tarsometarsal or TMT joints has been attributed to the French gynaecologist and Napoleonic surgeon Jacques L. Lisfranc. Traumatic injuries to the Lisfranc joint are rare and account for 0.1-0.4% of all fractures and dislocations....
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