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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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Updated: Oct 5, 2025

Maintenance of a Lateral Fluid Percussion Injury Device
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Updates on Lisfranc Complex Injuries.

Alan Yan1,2, Stephen R Chen1,2, Xin Ma3

  • 1Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

Foot & Ankle Orthopaedics
|January 31, 2022
PubMed
Summary
This summary is machine-generated.

Lisfranc injuries, a disruption of the tarsometatarsal joints, are often missed and undertreated. This review proposes a preferred algorithm for evaluating and managing these complex foot injuries.

Keywords:
LisfrancLisfranc ligamentsportstarsometatarsal jointtrauma

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Area of Science:

  • Orthopedics
  • Podiatry
  • Sports Medicine

Background:

  • Lisfranc injuries involve disruption of the tarsometatarsal joints, affecting 1 in 55,000 individuals.
  • Nearly 20% of Lisfranc injuries are initially misdiagnosed, leading to underreporting and inconsistent treatment.
  • The relative rarity of these injuries contributes to variability in current medical literature regarding optimal management.

Purpose of the Study:

  • To provide a comprehensive review of Lisfranc complex injuries.
  • To cover relevant anatomy, diagnosis, treatment options, classifications, surgical approaches, and outcomes.
  • To propose a preferred evidence-based algorithm for evaluating and treating Lisfranc injuries.

Main Methods:

  • Literature review of existing evidence on Lisfranc injuries.
  • Analysis of anatomical structures, diagnostic modalities, and treatment strategies.
  • Development of a clinical algorithm for patient management.

Main Results:

  • Detailed review of Lisfranc injury characteristics, including incidence and diagnostic challenges.
  • Discussion of various treatment modalities, classifications, and surgical techniques.
  • Presentation of a proposed evaluation and treatment algorithm.

Conclusions:

  • Lisfranc injuries require careful diagnosis and management due to potential underreporting and treatment inconsistencies.
  • A structured approach, as outlined in the proposed algorithm, can improve patient outcomes.
  • Further research may refine management strategies for this complex foot injury.