emDOCs.net Emergency Medicine (EM) Podcast Episode 118: Lisfranc Injury
Apr 14, 2025
Dive into the intricacies of Lisfranc injuries and their complex anatomy. Discover the essential diagnostic approaches that can prevent future complications. The discussion highlights both conservative and surgical treatment options, tailored to the specifics of each case. Non-operative techniques and imaging significance take center stage, with emphasis on when to seek orthopedic consultation based on injury severity and neurovascular conditions.
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Lisfranc Injury Is Easy to Miss
- Lisfranc injuries are often missed because they are uncommon and x-ray findings may be subtle or absent.
- Delayed diagnosis can lead to chronic pain and arthritis, significantly reducing quality of life.
Key Anatomy of Lisfranc Injury
- The Lisfranc ligament stabilizes the tarsometatarsal joint complex, preventing displacement.
- The joint's weakness between the first and second metatarsals increases injury susceptibility.
Classic Lisfranc Injury Stories
- A classic Lisfranc injury occurs when a rider falls with their foot caught in the stirrup.
- Similar injuries happen in windsurfing, football, gymnastics, or missteps like stepping off a curb.