Lisfranc injury and Jones fracture in sports

Rhim, Bora; Hunt, Joshua C.

Affiliations

¹Department of Podiatric Medicine, Surgery, and Biomechanics, College of Podiatric Medicine, Western University of Health Sciences, 309 East Second Street, Pomona, CA 91766-1854, USA

²College of Podiatric Medicine, Western University of Health Sciences, 309 East Second Street, Pomona, CA 91766-1854, USA

Abstract and keywords

This article provides an update and overview of Lisfranc injury and Jones fracture in the athletic population. Sports-related Lisfranc sprains or fractures are subtle injuries that can be easily missed. Now, there is greater understanding of midfoot sprains that represent a spectrum of injury to the Lisfranc ligament complex. Most types of fifth metatarsal fractures have a favorable prognosis and can be treated conservatively. The treatment options for Jones fractures in athletes have been much debated. This article discusses issues related to anatomy, mechanism of injury, clinical presentation, imaging, and diagnosis, which are necessary to appropriately treat these injuries.

Keywords: Midfoot sprain; Lisfranc ligament; Jones metatarsal fracture; Sports injuries

Links

DOI: 10.1016/j.cpm.2010.09.003

PubMed: 21276519

Cited Works (20)

Year	Entry
1988	Arntz CT, Veith RG, Hansen ST Jr. Fractures and fracture-dislocations of the tarsometatarsal joint. J Bone Joint Surg. 1988;70A(2):173-181.
1993	Lawrence SJ, Botte MJ. Jones' fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. July–August 1993;14(6):358-365.
2009	Henning JA, Jones CB, Sietsema DL, Bohay DR, Anderson JG. Open reduction internal fixation versus primary arthrodesis for Lisfranc injuries: a prospective randomized study. Foot Ankle Int. 2009;30(10):913-922.
1984	Torg JS, Balduini FC, Zelko RR, Pavlov H, Peff TC, Das M. Fractures of the base of the fifth metatarsal distal to the tuberosity: classification and guidelines for non-surgical and surgical management. J Bone Joint Surg. February 1984;66A(2):209-214.
2006	Desmond EA, Chou LB. Current concepts review: Lisfranc injuries. Foot Ankle Int. 2006;27(8):653-660.
2008	Coetzee JC. Making sense of Lisfranc injuries. Foot and Ankle Clinics. 2008;13(4):695-704.
2003	Thompson MC, Mormino MA. Injury to the tarsometatarsal joint complex. J Am Acad Orthop Surg. 2003;11(4):260-267.
1978	Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg. September 1978;60A(6):776-782.
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.
1986	Myerson MS, Fisher RT, Burgess AR, Kenzora JE. Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle. 1986;6(5):225-242.
1902	Jones R. Fracture of the base of the fifth metatarsal bone by indirect violence. Ann Surg. June 1902;35(6):697-700.
2007	Lattermann C, Goldstein JL, Wukich DK, Lee S, Bach BR Jr. Practical management of Lisfranc injuries in athletes. Clin J Sport Med. 2007;17(4):311-315.
1992	Sauers RJ, Dilorio EJ, Weiss CB Jr. A Lisfranc's fracture-dislocation in a collegiate football player. J Athl Train. 1992;27(1):24-25.
2009	DeOrio M, Erickson M, Usuelli FG, Easley M. Lisfranc injuries in sport. Foot and Ankle Clinics. June 2009;14(2):169-186.
1983	DeLee JC, Evans JP, Julian J. Stress fracture of the fifth metatarsal. Am J Sports Med. 1983;11(5):349-353.
2002	Nunley JA, Vertullo CJ. Classification, investigation, and management of midfoot sprains. Am J Sports Med. November–December 2002;30(6):871-878.
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.
2002	Thordarson DB, Hurvitz G. PLA screw fixation of lisfranc injuries. Foot Ankle Int. 2002;23(11):1003-1007.
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.
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.

Cited By (4)

Year	Entry
2014	Germany SL, Albert D, Greenwood L. Recurrent lisfranc instability in a Division I collegiate diver: a case report. J Athl Med. March 2014;2(1):1-11.
2016	Deol RS, Roche A, Calder JDF. Return to training and playing after acute Lisfranc injuries in elite professional soccer and rugby players. Am J Sports Med. January 2016;44(1):166-170.
2017	Renninger CH, Cochran G, Tompane T, Bellamy J, Kuhn K. Injury characteristics of low-energy Lisfranc injuries compared with high-energy injuries. Foot Ankle Int. 2017;38(9):964-969.
2012	Haddix B, Ellis K, Saylor-Pavkovich E. Lisfranc fracture-dislocation in a female soccer athlete. Int J Sports Phys Ther. April 2012;7(2):219-225.