A complex variant of Lisfranc joint complex injury

Bulut, Güven; Yasmin, Davud; Heybeli, Nurettin; Erken, Hüseyin Yener; Yildiz, Muzaffer

Affiliations

¹Orthopedics and Traumatology, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal, Istanbul, Turkey

²Orthopaedics and Traumatology, Trakya University, Faculty of Medicine, Edirne, Turkey

Abstract

We report an unusual case of a variant of Lisfranc injury, plantar dislocation of the medial cuneiform with plantar fracture-dislocation of the intermediate cuneiform and dorsal fracture-dislocation of the lateral cuneiform, which has never been reported, to our knowledge. The entire pathologic abnormality was treated by open reduction and fixation with Kirschner wires, which were removed 8 weeks postoperatively because of pin-tract infection. Complex regional pain syndrome, which was a problem early in the recovery process, is now in remission, and at the 25-month follow-up examination, the patient was almost symptom free.

Links

URL: http://www.japmaonline.org/cgi/content/abstract/99/4/359

PubMed: 19605931

WoS: 000268267500011

Cited Works (9)

Year	Entry
2008	Doshi D, Prabhu P, Bhattacharjee A. Dorsal dislocation of the intermediate cuneiform with fracture of the Lisfranc joint: a case report. J Foot Ankle Surg. 2008;47(1):60-62.
1993	Vuori J-P, Aro HT. Lisfranc joint injuries: trauma mechanisms and associated injuries. J Trauma. July 1993;35(1):40-45.
2002	Mulier T, Reynders P, Dereymaeker G, Broos P. Severe lisfranc injuries: primary arthrodesis of ORIF? Foot Ankle Int. 2002;23(10):902-905.
2004	Lee CA, Birkedal JP, Dickerson EA, Vieta PA Jr, Webb LX, Teasdall RD. Stabilization of Lisfranc joint injuries: a biomechanical study. Foot Ankle Int. May 2004;25(5):365-370.
2006	Ly TV, Coetzee JC. Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation: a prospective, randomized study. J Bone Joint Surg. 2006;88B(3):514-520.
1995	Lynch JR Sr, Cooperstein LA, DiGioia AM. Plantar medial subluxation of the medial cuneiform: case report of an uncommon variant of the Lisfranc injury. Foot Ankle Int. May 1995;16(5):299-301.
1998	Buzzard BM, Briggs PJ. Surgical management of acute tarsometatarsal fracture dislocation in the adult. Clin Orthop Relat Res. 1998;353:125-133.
1989	Myerson M. The diagnosis and treatment of injuries to the Lisfranc joint complex. Orthop Clin North Am. 1989;20(4):655-664.
2000	Kuo RS, Tejwani NC, DiGiovanni CW, Holt SK, Benirschke SK, Hansen ST Jr, Sangeorzan BJ. Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Joint Surg. November 2000;82A(11):1609-1618.

Cited By (2)

Year	Entry
2015	Lievers WB, Frimenko RE, McCullough KA, Crandall JR, Kent RW. Etiology and biomechanics of midfoot (Lisfranc) injuries in athletes. Crit Rev Biomed Eng. 2015;43(2-3):213-238.
2012	Lievers WB, Frimenko RE, Crandall JR, Kent RW, Park JS. Age, sex, causal and injury patterns in tarsometatarsal dislocations: a literature review of over 2000 cases. Foot. September 2012;22(3):117-124.