Lisfranc Fracture-dislocation in Patients with Multiple Trauma: Diagnosis with Multidetector Computed Tomography

Haapamäki, Ville; Kiuru, Martti J.; Koskinen, Seppo

doi:10.1177/107110070402500903

Cited by 82 publications

(35 citation statements)

References 17 publications

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“…The latter are more common and include bending or twisting moments applied to the midfoot [5,25], while the former are mostly crush injuries, which may be associated with notable soft tissue trauma. Currently, the two most common mechanisms of injury are motor vehicle accidents, which are high energy injuries, and falls from height which are mainly lower energy injuries [9,27]. In our review there is evidence that high energy injuries are more common than low energy injuries (58.0% and 42.0%, respectively), with closed injuries to be the most encountered pattern (87.5%).…”

Section: Discussionmentioning

confidence: 93%

The role of reduction and internal fixation of Lisfranc fracture–dislocations: a systematic review of the literature

Stavlas

Roberts

Xypnitos

et al. 2010

International Orthopaedics (SICOT)

142

127

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A systematic review of the literature was performed in order to evaluate the role of reduction and internal fixation in the management of Lisfranc joint fracturedislocations. Articles were extracted from the Pubmed database and the retrieved reports were included in the study only if pre-specified eligibility criteria were fulfilled. Eleven articles were eligible for the final analysis, reporting data for the management of 257 patients. Injuries of the first three metatarsal rays were treated by closed reduction and internal fixation with screws in 16.3% of the patients, open reduction and internal fixation with screws in 66.5% and open reduction and internal fixation with Kirschner wires (K-wires) in 17.1% of the patients. The preferred method for the stabilisation of the fourth and fifth metatarsal rays was K-wires. Screw-related complications were common and were reported in 16.1% of the cases. The mean American Orthopaedic Foot and Ankle Society midfoot score was 78.1 points. Post-traumatic radiographic arthritis was reported in 49.6% of the patients, but only in 7.8% of them it was severe enough to warrant an arthrodesis. We conclude that open reduction and internal fixation of the first three metatarsal rays with screws is a reliable method for the management of Lisfranc injuries. This can be complemented by K-wires application in the fourth and fifth metatarsal rays if needed.

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Section: Discussionmentioning

confidence: 93%

The role of reduction and internal fixation of Lisfranc fracture–dislocations: a systematic review of the literature

Stavlas

Roberts

Xypnitos

et al. 2010

International Orthopaedics (SICOT)

142

127

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“…1). Etwa 25% dieser Verletzungen werden allerdings auf den Standardaufnahmen des Vorfußes im dorsoplantaren und 30° schrägen Strahlengang übersehen oder sind nicht detektierbar [27]. Zusätzliche seitlliche Aufnahmen im Stehen reduzieren die Anzahl falsch-negativer Befunde um 50% [28].…”

Section: Verletzungen Des Lisfranc-gelenksunclassified

Akute Sportverletzungen und chronische Überlastungsschäden an Vor- und Mittelfuß

Wörtler

Schäffeler

2015

Radiologe

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Sports injuries of the foot can occur as sequelae of acute trauma or chronic overuse. Besides clinical examination, imaging plays a major role in the detection of structural abnormalities and the differential diagnostics. This article reviews the most important sports-related soft tissue and bone pathologies of the forefoot and midfoot together with their typical findings on radiography, ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI).

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“…Abb. 5) [8]. Auch am bewusstlosen schwer verletzten Patienten gibt die systematische klinische Untersuchung der 7 Füße im Seitenvergleich wertvolle Hinweise auf eine eventuelle Verletzung der Fußwurzel und sollte Bestandteil des Untersuchungsalgorithmus sein.…”

Section: Klinische Diagnostikunclassified

Verletzungen der Fußwurzel

Mittlmeier

Beck

2011

Chirurg

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Injuries of the midfoot comprise fractures, dislocations and/or fracture dislocations of the Chopart and Lisfranc joint lines. Fracture dislocations, in particular, represent prognostically severe lesions which may compromise foot function to a substantial degree. A number of injuries of the midfoot (up to one quarter) are still primarily overlooked. As such, a diagnostic algorithm is essential for the adequate detection of the injury components and planning of the therapeutic approach. Standard x-rays in three planes (dorso-plantar, lateral and lateral oblique views) represent the diagnostic basis which is supplemented by CAT scanning and multiplanar reconstruction, especially in cases where a potential midfoot lesion is suspected. MRI may be helpful in mainly ligamentous injuries only. Latent instability may be revealed by dynamic assessment employing stress fluoroscopy. Chronic instability may be detected by weight-bearing radiographs displaying manifest displacement and malalignment under load. The principal strategy of treatment includes anatomical reconstruction of the joint structures, the geometric proportions of the medial, central and lateral foot columns and the diagnostics and treatment of ligamentous instabilities.

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Lisfranc Fracture-dislocation in Patients with Multiple Trauma: Diagnosis with Multidetector Computed Tomography

Cited by 82 publications

References 17 publications

The role of reduction and internal fixation of Lisfranc fracture–dislocations: a systematic review of the literature

The role of reduction and internal fixation of Lisfranc fracture–dislocations: a systematic review of the literature

Akute Sportverletzungen und chronische Überlastungsschäden an Vor- und Mittelfuß

Verletzungen der Fußwurzel

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