Lisfranc fracture
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| Lisfranc fracture Classification and external resources | |
| eMedicine | orthoped/511 |
|---|---|
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Overview
The Lisfranc fracture is a fracture and dislocation of the joints in the midfoot, where a cluster of small bones forms an arch on top of the foot between the ankle and the toes. From this cluster, five long bones, the metatarsals, extend until the toes.
History
The fracture was first described by the French doctor and surgeon Jacques Lisfranc de St. Martin, who worked in Napoleon's army.
Causes
This type of injury, which Lisfranc first described, occurred when a horseman fell while riding, having trapped his foot in the stirrup or fell into a drain. At present, such an injury happens typically when one steps into a hole and the foot twists heavily. Falling from a height of two or three stories can also cause this fracture. American football players occasionally get this injury, often when they have their foot pointing down and someone lands on their heel. Examples include New England Patriots defensive back Ty Law, who suffered this injury in October, 2004, and Indianapolis Colts defensive end Dwight Freeney, whose injury on November 11, 2007 ended his season. There are also other ways of receiving such an injury.
Treatment
Treatment options include operative or non-operative treatment. If the dislocation is less than 2mm, the fracture can be managed with a POP(plaster of Paris) or dynacast for 6 weeks. The patient's injured limb cannot bear weight during this period. For operative treatment, percutaneous screws +/- k-wire will be used for internal fixation of the fracture. Again, the patient's injured limb cannot bear weight. The screws/k-wires must be removed before weight bearing.
See also
External links
Fractures (Sx2, 800-829) | |
|---|---|
| General | Avulsion fracture · Greenstick fracture · Salter-Harris fractures |
| Head | Skull fracture · Basilar · Blowout |
| Vertebral | Cervical · Jefferson · Hangman's · Flexion teardrop · Extension teardrop, Clay-shoveler · Burst · Compression · Wedge · Chance · Hyperextension fracture dislocation |
| Ribs | Rib fracture · Flail chest |
| Shoulder, arm and hand | Clavicle · Humerus · Monteggia · Galeazzi · Colles' · Smith's · Barton's · Scaphoid · Rolando · Bennett's · Boxer's |
| Hip, leg and foot | Hip fracture · Segond · trimalleolar · Bimalleolar · Pott's · Maisonneuve · Lisfranc · Calcaneal · Jones fracture |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
