UMEM Educational Pearls

Category: Orthopedics

Title: Lisfranc Fractures

Keywords: Lisfranc Fracture (PubMed Search)

Posted: 6/2/2008 by Michael Bond, MD (Updated: 4/24/2024)
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  Lisfranc Fracture:

Typically consists of a fracture of the base of the second metatarsal and dislocation, though it can also be associated with fractures of a cuboid.  Common current  mechanism is when a person steps into a hole and twists the foot.Originally described when a horseman would fall of their horse with their foot still trapped in a stirrup.

Diagnosis should be considered if patient has difficult weight bearing with pain on palpation over the 2nd and 3rd metacarpal head with an appropriate mechanism.

Pearls:

  • Fracture findings on plain films may be subtle.
  • Can obtain weight bearing AP views of the foot to demonstrate dislocation/fracture.
  • If still suspicious consider a CT scan of the foot.