Irreducible Lisfranc dislocation due to the interposition of the tibialis anterior tendon:​ case report and literature review

Karaindros, Konstantinos; Arealis, George; Papanikolaou, Athanasios; Mouratidou, Alexandra; Siakandaris, Ploutarxos

Affiliations

¹Orthopedic Department, Amaliada General Hospital, Euaggelistrias Terma, 27200 Amaliada, Greece

²2nd Orthopedic Department, IASO General Hospital, Mesogeion 264, 15562 Xolargos, Greece

³Orthopedic Department, Hellenic Red Cross Hospital, Korgialenio Benakio, Erithrou Staurou 1, 11526 Athens, Greece

⁴Anesthesiology Department, Pyrgos General Hospital, Manolopoulou 1, 27100 Pyrgos, Greece

Abstract and keywords

We report a case of a lateral type A (according to Myerson) Lisfranc dislocation irreducible by closed manipulation. Upon surgical exploration the lateral slip of the tibialis anterior tendon was found trapped between the medial and the middle cuneiform. Once the tendon was reduced, the dislocated first ray spontaneously reverted to its anatomical position and the joint was fixed with Kirschner wires. Seven similar cases have been reported in the literature. After analysis of all the reported cases we were able to describe a pattern of injury that may predict tibialis anterior interposition: (a) lateral type A according to Myerson dislocation; (b) after closed manipulation the 1st ray remains dislocated while the 5th metatarsal reduces; (c) there is a gap between the medial and the middle cuneiform or a fracture at the base of the 2nd metatarsal.

Keywords: Metatarsal fracture; Lisfranc dislocation; Irreducible; Tibialis anterior

Links

DOI: 10.1016/j.fas.2010.05.002

PubMed: 20655004

History

Received: 2009-07-13

Revised: 2010-04-19

Accepted: 2010-05-4

Online: 2010-06-30

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Cited By (3)

Year	Entry
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.
2012	van Rijn J, Dorleijn DMJ, Boetes B, Wiersma-Tuinstra S, Moonen S. Missing the Lisfranc fracture: a case report and review of the literature. J Foot Ankle Surg. 2012;51(2):270-274.
2014	Siddiqui NA, Galizia MS, Almusa E, Omar IM. Evaluation of the tarsometatarsal joint using conventional radiography, CT, and MR imaging. RadioGraphics. March–April 2014;34(2):514-531.