Skip to main content
SpringerLink
Log in

Le fratture-lussazioni della Lisfranc

Lisfranc fracture-dislocations

  • Aggiornamenti
  • Published:
LO SCALPELLO-OTODI Educational

Abstract

Lisfranc fracture-dislocations are an uncommon injury involving the tarsometatarsal joint and represent a broad spectrum of injuries, which can be purely ligamentous or may involve the osseous and articular structures. Lisfranc injuries are often misdiagnosed and mismanaged; if they are not detected at an early stage and appropriately treated, they can cause long-term disability and will lead to midfoot arthritis. This article outlines the anatomy, epidemiology, classification, investigation and current evidence on treatment of this injury.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Bibliografia

  1. Rockwood PH, Green DP (1984) Fractures in adults, vol 2. JB Lippincott, Philadelphia, pp 1796–1806

    Google Scholar 

  2. Cassebaum WH (1963) Lisfranc fracture-dislocations. Clin Orthop Relat Res 30:116–129

    Article  PubMed  CAS  Google Scholar 

  3. Fischer L (2005) Jacques Lisfranc de Saint-Martin (1787–1847). Hist Sci Med 39:17–34

    PubMed  Google Scholar 

  4. Bardelli M (1993) Classificazione delle fratture-lussazioni della Lisfranc. Chir Piede 17:125–132

    Google Scholar 

  5. Quénu E, Küss G (1909) Etude sur le luxation du metatarse (luxations metatarsotarsienne) du diastasis entre le 1° et le 2° metatarsien. Rev Chir 39:281–336

    Google Scholar 

  6. Gallagher SM, Rodriguez NA, Andersen CR et al. (2013) Anatomic predisposition to Lisfranc injury: a matched case-control study. J Bone Jt Surg, Am 95:2043–2047

    Article  Google Scholar 

  7. Kura H, Luo ZP, Kitaoka HB et al. (2001) Mechanical behavior of the Lisfranc and dorsal cuneometatarsal ligaments: in vitro biomechanical study. J Orthop Trauma 15(2):107–110

    Article  PubMed  CAS  Google Scholar 

  8. DeOrio M, Erickson M, Usuelli FG, Easley M (2009) Lisfranc injuries in sport. Foot Ankle Clin 14(2):169–186

    Article  PubMed  Google Scholar 

  9. Goossens M, DeStoop N (1983) Lisfranc’s fracture-dislocations: etiology, radiology, and results of treatment. Clin Orthop Relat Res 176:154–162

    Google Scholar 

  10. Gotha HE, Lareau CR, Fellars TA (2013) Diagnosis and management of Lisfranc injuries and metatarsal fractures. R I Med J 96(5):33–36

    Google Scholar 

  11. Myerson MS, Fisher T, Burgess AR et al. (1986) Fracture dislocations of tarsometatarsal joints: end results correlated with pathology treatment. Foot Ankle 6:225–242

    Article  PubMed  CAS  Google Scholar 

  12. Nunley JA, Vertullo CJ (2002) Classification, investigation, and management of midfoot sprains: Lisfranc injuries in the athlete. Am J Sports Med 30:871–878

    Article  PubMed  Google Scholar 

  13. Kalia V, Fishman EK, Carrino JA, Fayad LM (2012) Epidemiology, imaging, and treatment of Lisfranc fracture-dislocations revisited. Skelet Radiol 41(2):129–136

    Article  Google Scholar 

  14. Watson TS, Shurnas PS, Denker J (2010) Treatment of Lisfranc joint injury: current concepts. J Am Acad Orthop Surg 18(12):718–728

    Article  PubMed  Google Scholar 

  15. Siddiqui NA, Galizia MS, Almusa E et al. (2014) Evaluation of the tarsometatarsal joint using conventional radiography, CT, and MR imaging. Musculo skeletal imaging. Radiographics 34:514–531

    Article  PubMed  Google Scholar 

  16. English TA (1964) Dislocations of the metatarsal bone and adjacent toe. J Bone Jt Surg Br 46:700–704

    Article  CAS  Google Scholar 

  17. Ulbrich EJ, Zubler V, Sutter R et al. (2013) Ligaments of the Lisfranc joint in MRI: 3D-SPACE (sampling perfection with application optimized contrasts using different flip-angle evolution) sequence compared to three orthogonal proton-density fat-saturated (PD fs) sequences. Skelet Radiol 42(3):399–409

    Article  Google Scholar 

  18. Desmond EA, Chou LB (2006) Current concepts review: Lisfranc injuries. Foot Ankle Int 27:653–660

    Article  PubMed  Google Scholar 

  19. Ly TV, Coetzee JC (2006) Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study. J Bone Jt Surg, Am 88:514–520

    Google Scholar 

  20. Mann RA, Prieskorn D, Sobel M (1996) Mid-tarsal and TMT arthrodesis for primary degenerative osteoarthrosis or osteoarthrosis after trauma. J Bone Jt Surg, Am 78:1376–1385

    Article  CAS  Google Scholar 

  21. Kuo RS, Tejwani NC, Digiovanni CW et al. (2000) Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Jt Surg, Am 82-A:1609–1618

    Article  CAS  Google Scholar 

  22. Mulier T, Reynders P, Sioen W et al. (1997) The treatment of Lisfranc injuries. Acta Orthop Belg 63:82

    PubMed  CAS  Google Scholar 

  23. Sangeorzan BJ, Hansen ST (2002) Cuneiform-metatarsal (Lisfranc) arthrodesis, 2nd edn. Lippincott Williams & Wilkins, Philadelphia, pp 237–252

    Google Scholar 

  24. Arntz CT, Hansen ST Jr (1987) Dislocations and fracture dislocations of the tarsometatarsal joints. Orthop Clin N Am 18(1):105–114

    CAS  Google Scholar 

  25. Clare MP (2017) Lisfranc injuries. Curr Rev Musculoskelet Med 10(1):81–85

    Article  PubMed  PubMed Central  Google Scholar 

  26. Thordarson DB, Hedman TP, Gross D et al. (1997) Biomechanical evaluation of polylac-tide absorbable screws used for syndesmosis injury repair. Foot Ankle Int 18:622–627

    Article  PubMed  CAS  Google Scholar 

  27. Saxena A (2005) Biabsorbable screws for reduction of Lisafranc’s diastasis in athletes. J Foot Ankle Surg 44:445–449

    Article  PubMed  Google Scholar 

  28. Englanoff G, Anglin D, Hutson HR (1995) Lisfranc fracture-dislocation: a frequently missed diagnosis in the emergency department. Ann Emerg Med 26(2):229–233

    Article  PubMed  CAS  Google Scholar 

  29. Hardcastle PH, Reschauer R, Kutscha-Lissberg E et al. (1982) Injuries to the TMT joint. Incidence, classification and treatment. J Bone Jt Surg Br 64:349–356

    Article  CAS  Google Scholar 

  30. Thordarson DB, Hurvitz G (2002) PLA screw fixation of Lisfranc injuries. Foot Ankle Int 23:1003–1007

    Article  PubMed  Google Scholar 

Download references

Ringraziamenti

I miei ringraziamenti vanno al dottor Marco Mugnaini, colui che mi ha fatto nascere l’interesse e quindi permesso di approfondire le conoscenze sulle patologie del piede e della caviglia, e al dottor Federico Usuelli per avermi seguito durante la mia formazione e per la preziosa collaborazione che continua tuttora.

Author information

Authors and Affiliations

  1. U.O. Ortopedia e Traumatologia, Ospedale Santa Maria Annunziata, Bagno a Ripoli, FI, Italia

    Francesco Di Bisceglie, Marco Mugnaini & Marco Bardelli

Authors
  1. Francesco Di Bisceglie
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Marco Mugnaini
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marco Bardelli
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Francesco Di Bisceglie.

Ethics declarations

Conflitto di interesse

Gli autori Francesco Di Bisceglie, Marco Mugnaini e Marco Bardelli dichiarano di non aver alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Di Bisceglie, F., Mugnaini, M. & Bardelli, M. Le fratture-lussazioni della Lisfranc. LO SCALPELLO 32, 202–210 (2018). https://doi.org/10.1007/s11639-018-0271-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11639-018-0271-y

Search

Navigation