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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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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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1. Clinical Evaluation:
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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Related Experiment Video

Updated: Mar 6, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Lisfranc injuries.

Sacha Wynter, Cameron Grigg

    Australian Family Physician
    |March 6, 2017
    PubMed
    Summary

    Lisfranc injuries, or tarsometatarsal joint damage, are often missed but can lead to severe outcomes. Early diagnosis and prompt management are crucial to prevent complications like posttraumatic arthritis.

    Area of Science:

    • Orthopedic Surgery
    • Podiatric Medicine
    • Sports Medicine

    Background:

    • Tarsometatarsal joint injuries, commonly known as Lisfranc injuries, are infrequent but frequently overlooked.
    • Missed diagnosis can result in significant long-term disability and are considered a red flag in primary care.

    Purpose of the Study:

    • To provide a comprehensive review of the current literature on Lisfranc injuries.
    • To outline clinical assessment strategies, diagnostic imaging techniques, and management protocols.

    Main Methods:

    • Literature review of existing studies on tarsometatarsal joint injuries.
    • Description of clinical examination findings, including specific provocative tests.
    • Emphasis on the role of weight-bearing radiographs in diagnosis.

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    Main Results:

    • Lisfranc injuries involve the displacement of metatarsals from the tarsus, particularly affecting the second tarsometatarsal joint and Lisfranc ligament.
    • Common causes include motor vehicle accidents, crush injuries, falls, and indirect mechanisms like axial force or twisting.
    • Key clinical signs include plantar ecchymosis, midfoot pain, and positive provocative test results.

    Conclusions:

    • Accurate and timely diagnosis of Lisfranc injuries is critical.
    • Prompt management is essential to mitigate the risk of posttraumatic arthritis, a common and debilitating complication.