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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Apr 16, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
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Longitudinal Lisfranc injury.

Nikhil R Oak1, Arthur Manoli, James R Holmes

  • 1Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan. jrh@umich.edu.

Journal of Surgical Orthopaedic Advances
|March 19, 2015
PubMed
Summary

This study identifies a specific Lisfranc (or tarsometatarsal) joint injury pattern caused by longitudinal force. A simple radiographic measurement of cuneiform height difference can help detect these subtle injuries early.

Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Sports Medicine

Background:

  • Lisfranc (or tarsometatarsal) joint injuries typically result from horizontal forces causing metatarsal displacement.
  • A less common injury pattern involves a longitudinal force through the first ray and cuneiform.

Purpose of the Study:

  • To describe a specific longitudinal Lisfranc variant injury pattern.
  • To present a reliable radiographic measurement for recognizing this injury.
  • To aid in determining the need for operative intervention.

Main Methods:

  • Analysis of radiographic findings in Lisfranc injuries.
  • Measurement of the height difference between the distal articular surfaces of the first and second cuneiform bones.
  • Utilizing anteroposterior (AP) weight-bearing radiographs.

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Main Results:

  • A specific longitudinal force injury pattern of the Lisfranc joint is described.
  • The height difference between the first and second cuneiforms on AP weight-bearing radiographs is a reliable indicator.
  • This measurement aids in identifying subtle proximal and medial subluxation of the first cuneiform-metatarsal complex.

Conclusions:

  • Delayed diagnosis of longitudinal Lisfranc injuries leads to poorer outcomes.
  • A simple radiographic measurement can help diagnose this variant injury.
  • Early recognition facilitates appropriate treatment and improves functional results.