Medial column instability in the Lisfranc's fracture dislocation injury

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Morris, Kevin L.¹; Giacopelli, Joseph A.¹; Granoff, David P.¹

Medial column instability in the Lisfranc's fracture dislocation injury

J Foot Surg. 1991;30(5):513-523

Affiliations

¹Department of Podiatric Surgery, Fountain Valley Regional Hospital and Medical Center, California
Abstract

The authors present a descriptive report on medial column instability with Lisfranc's fracture dislocation injuries. Subtleties of recognizing and diagnosing this injury are emphasized within a literature review. Eleven cases of tarsometatarsal injuries were reviewed over an 18-month period. Eight cases involved acute injuries, while three cases presented as delayed or misdiagnosed injuries. Due to the instability of the medial column, failure in reduction methods for this injury consistently occurred. With proper sequential placement of Kirschner wires, reduction failure is minimized. A fixation method for medial column Lisfranc's injuries with Kirschner wire placement is described.
Links

PubMed: 1783764

Cited Works (30)

Year	Entry
1963	Aitken AP, Poulson D. Dislocations of the tarsometatarsal joint. J Bone Joint Surg. 1963;45A:246-260.
1963	Jeffreys TE. Lisfranc's fracture-dislocation: a clinical and experimental study of tarso-metatarsal dislocations and fracture-dislocations. J Bone Joint Surg. 1963;45B(3):546-551.
1973	Wilppula E. Tarsometatarsal fracture-dislocation: late results in 26 patients. Acta Orthop Scand. 1973;44(3):335-345.
1984	van der Werf GJIM, Tonino AJ. Tarsometatarsal fracture-dislocation. Acta Orthop Scand. December 1984;55(6):647-651.
1986	Wynne AT, Southgate GW. Delayed tarsometatarsal joint dislocation following forefoot injury. Orthopedics. January 1986;9(1):52-52.
1972	Wilson DW. Injuries of the tarso-metatarsal joints: etiology, classification and results of treatment. J Bone Joint Surg. 1972;54B(4):677-686.
1978	DeBenedetti MJ, Evanski PM, Waugh TR. The unreducible Lisfranc fracture: case report and literature review. Clin Orthop Relat Res. 1978;136:238-240.
1984	Hesp WLEM, Van Der Werken C, Goris RJA. Lisfranc dislocations: fractures and/or dislocations through the tarso-metatarsal joints. Injury. 1984;15(4):261-266.
1964	English TA. Dislocations of the metatarsal bone and adjacent toe. J Bone Joint Surg. November 1964;46B(4):700-704.
1986	Wargon CA, Goldman FD. Lisfranc fracture dislocation: a variation. J Am Podiatr Med Assoc. August 1986;76(8):466-468.
1955	Del Sel JM. The surgical treatment of tarso-metatarsal fracture-dislocations. J Bone Joint Surg. 1955;37B(2):203-207.
1976	Foster SC, Foster RR. Lisfranc's tarsometatarsal fracture-dislocation. Radiology. July 1976;120(1):79-83.
1981	Norfray JF, Geline RA, I.Steinberg R, Galinski AW, Gilula LA. Subtleties of Lisfranc fracture-dislocations. Am J Roentgen. 1981;137(6):1151-156.
1963	Cassebaum WH. Lisfranc fracture-dislocations. Clin Orthop Relat Res. 1963;30:116-132.
1986	Johnson JE, Johnson KA. Dowel arthrodesis for degenerative arthritis of the tarsometatarsal (lisfranc) joints. Foot Ankle. 1986;6(5):243-253.
1974	Lenczner EM, Waddell JP, Graham JD. Tarsal-metatarsal (Lisfranc) dislocation. J Trauma. December 1974;14(12):1012-1020.
1981	Saft SH, Franciosi RV, Cole FL Jr. Fracture-dislocation of the tarsometatarsal joints: a case report. J Am Podiatr Assoc. March 1981;71(3):162-165.
1985	Sharon SM, Knudsen HA, Lowhorn M. Reduction of a fracture-dislocation of Lisfranc's joint by endoprosthetic implantation. J Foot Surg. January–February 1985;24(1):44-50.
1990	Sangeorzan BJ, Veith RG, Hansen ST Jr. Salvage of Lisfranc's tarsometatarsal joint by arthrodesis. Foot Ankle. 1990;10(4):193-.
1985	Goiney RC, Connell DG, Nichols DM. CT evaluation of tarsometatarsal fracture-dislocation injuries. Am J Roentgen. 1985;144(5):985-990.
1971	Wiley JJ. The mechanism of tarso-metatarsal joint injuries. J Bone Joint Surg. August 1971;53B(3):474-482.
1981	Cook JM, Galorenzo R, Gold RH. Lisfranc's joint dislocation: a review and case report. J Am Podiatr Assoc. November 1981;71(11):611-617.
1989	Wojciehoski RF, Krych SM, Harkless LB. Open reduction of Lisfranc's dislocation. J Am Podiatr Med Assoc. 1989;79(2):86-88.
1951	Gissane W. A dangerous type of fracture of the foot. J Bone Joint Surg. 1951;33B(4):535-538.
1983	Cooper WE, Galorenzo R, Mattingly EH. Delayed open reduction of Lisfrancʼs joint dislocation. J Foot Surg. 1983;22(1):45-49.
1985	Micheli LJ, Sohn RS, Solomon R. Stress fractures of the second metatarsal involving Lisfranc's joint in ballet dancers: a new overuse injury of the foot. J Bone Joint Surg. 1985;67A(8):1372-1375.
1983	Goossens M, De Stoop N. Lisfranc's fracture-dislocations: etiology, radiology, and results of treatment: a review of 20 cases. Clin Orthop Relat Res. 1983;176:154-162.
1982	Hardcastle PH, Reschauer R, Kutscha-Lissberg E, Schoffmann W. Injuries to the tarsometatarsal joint: incidence, classification and treatment. J Bone Joint Surg. 1982;64B(3):349-356.
1977	Anderson LD. Injuries of the forefoot. Clin Orthop Relat Res. January–February 1977;122:18-27.
1909	Quénu E, Küss G. Étude sur les luxations du métatarse (luxations métatarso-tarsiennes) du diastasis entre le 1^er et le 2^e métatarsien. Rev Chir. 1909;39:1-72.

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1996	Rabin SI. Lisfranc dislocation and associated metatarsophalangeal joint dislocations: a case report and literature review. Am J Orthop (Belle Meade, NJ). April 1996;25(4):305-309.
1996	Preidler KW, Brossman J, Daenen B, Goodwin D, Schweitzer M, Resnick D. MR imaging of the tarsometatarsal joint: analysis of injuries in 11 patients. Am J Roentgen. 1996;167(5):1217-1222.
1999	Preidler KW, Peicha G, Lajtai G, Seibert FJ, Fock C, Szolar DM, Raith H. Conventional radiography, CT, and MR imaging in patients with hyperflexion injuries of the foot: diagnostic accuracy in the detection of bony and ligamentous changes. Am J Roentgen. 1999;173(6):1673-1677.
1998	Buzzard BM, Briggs PJ. Surgical management of acute tarsometatarsal fracture dislocation in the adult. Clin Orthop Relat Res. 1998;353:125-133.
1995	Felder-Johnson KL, Murdoch DP, McGanity P. Lisfranc's fracture-dislocation: a literature review and case presentations of tarsometatarsal joint injuries. Clin Podiatr Med Surg. 1995;12(4):565-602.
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.
2012	Nery C, Réssio C, Alloza JFM. Subtle Lisfranc joint ligament lesions: surgical neoligamentplasty technique. Foot and Ankle Clinics. September 2012;17(3):407-416.
1998	Coss HS, Manos RE, Buoncristiani A, Mills WJ. Abduction stress and AP weightbearing radiography of purely ligamentous injury in the tarsometatarsal joint. Foot Ankle Int. 1998;19(8):537-541.
2001	Richter M, Wippermann B, Krettek C, Schratt HE, Hufner T, Thermann H. Fractures and fracture dislocations of the midfoot: occurrence, causes and long-term results. Foot Ankle Int. 2001;22(5):392-398.
2002	Richter M, Thermann H, Huefner T, Schmidt U, Kretter C. Aetiology, treatment and outcome in Lisfranc joint dislocations and fracture dislocations. Foot Ankle Surg. 2002;8(1):21-32.
2014	Oak NR, Manoli A II, Holmes JR. Longitudinal Lisfranc injury. J Surg Orthop Adv. Winter 2014;23(4):233-236.
2010	Nery C, Réssio C, Marion Alloza JF. Neoligamentplasty for the treatment of subtle ligament lesions of the intercuneiform and tarsometatarsal joints. Tech Foot Ankle Surg. 2010;9(3):92-99.
2003	Pehlivan Ö, Akmaz İ, Solakoğlu C, Rodop O. Management of Lisfranc's fracture-dislocation. Ulus Travma Acil Cerrahi Derg. 2003;9(2):145-148.