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Similar Publications

Midfoot fractures: Patterns of injury and predictors of stability.

J Clin Orthop Trauma

February 2025

Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham, B15 2TH, United Kingdom.

Background: Lisfranc injuries describe a spectrum of midfoot and tarsometatarsal joint (TMTJ) trauma ranging from purely ligamentous to multiple fracture-dislocations. Lisfranc injuries represent 0.2 % of all fractures and are seen predictably, with mechanisms involving a fall from height, crushing, or torsion.

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Lisfranc injuries were previously described as fracture-dislocations of the tarsometatarsal joints. With advancements in modern imaging, subtle Lisfranc injuries are now more frequently recognized, revealing that their true incidence is much higher than previously thought. Injury patterns can vary widely in severity and anatomy.

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Lisfranc injuries, involving the tarsometatarsal joints, are rare and account for approximately 0.2% of all fractures. Among these, dorsal dislocation of the intermediate cuneiform is extremely uncommon.

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High risk and low incidence diseases: Lisfranc injury.

Am J Emerg Med

November 2024

Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address:

Article Synopsis
  • Lisfranc injuries, while uncommon, are often misdiagnosed and can lead to serious long-term issues if not treated promptly.
  • These injuries can range from minor subluxations to severe fractures and may present with midfoot pain, swelling, or bruising, making immediate diagnosis crucial.
  • Advanced imaging like CT scans is essential when initial x-rays are inconclusive, and collaboration with orthopedic surgery is necessary for proper management.
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Introduction: Lisfranc joint injuries are common and often underdiagnosed. They occur during trauma of various mechanisms, high or low energy. Their management is difficult because of the wide spectrum of lesions and the management of associated lesions, particularly in the emergency stage.

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