Effective detection and management of low-velocity Lisfranc injuries in the emergency setting:​ principles for a subtle and commonly missed entity

Mayich, D. Joshua; Mayich, Michael S.; Daniels, Timothy R.

Affiliations

¹Department of Orthopedic Surgery at the University of Toronto in Ontario

²Department of Diagnostic Imaging at Memorial University of Newfoundland in St John’s

³Department of Orthopedic Surgery at St. Michael’s Hospital in Toronto

⁴University of Toronto

Abstract

Objective: To improve the ability of primary care physicians to recognize the mechanisms and common presentations of low-velocity Lisfranc injuries (LFIs) and to impart an improved understanding of the role of imaging and principles of primary care in low-velocity LFIs.

Sources of information: A MEDLINE literature review was performed and the results were summarized, reviewing anatomy and mechanisms, clinical and imaging-based diagnoses, and management principles in the primary care setting.

Main message: Low-velocity LFIs result from various mechanisms and can have very subtle findings on clinical examination and imaging. A high degree of suspicion and caution are warranted when managing this type of injury.

Conclusion: Although potentially devastating if missed, if a few treatment principles for low-velocity LFIs are applied from the initial presentation onward, outcomes from this injury can be optimized.

Links

PubMed: 23152455

PubMedCentral: PMC3498011

WoS: 000311792500011

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Cited By (2)

Year	Entry
2018	Aboueddahab Z. Les fractures luxations de Lisfranc: Etude retrospective d’une serie de 10 cas [Lisfranc Fracture-Dislocation: Retrospective Study of 10 Cases] Rabat, Morocco: Mohammed V University; 2018.
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.