RT Book, Section
A1 Breed, Meghan
A1 Fitch, Robert Warne
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181042235
T1 Lisfranc Fracture-Dislocation
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181042235
RD 2024/04/16
AB The  Lisfranc  joint  (tarsometatarsal  joint)  connects  the  midfoot  and  forefoot.  It  is  defined  by  the  articulation  of  the  bases  of  the  1st  three  metatarsals  with  the  cuneiforms  and  the  4th  and  5th  metatarsals  with  the  cuboid.  The  Lisfranc  ligament  anchors  the  second  metatarsal  base  to  the  medial  cuneiform.  Disruption  of  the  Lisfranc  joint  is  typically  associated  with  high-energy  mechanisms;  however,  they  may  occur  with  less  force.  Clinical  presentation  is  variable,  but  severe  midfoot  pain  and  the  inability  to  bear  weight  are  usually  present.  Radiographs  may  reveal  displacement  of  the  metatarsals  in  one  direction  (homolateral)  or  a  split,  usually  between  the  1st  and  2nd  metatarsals  (divergent).