Lisfranc injuries in adolescents: A case report and literature review

Cardile, Carlo; Cazzaniga, Carlo; Manzini, Beatrice; Marasco, Roberto; Ragni, P

doi:10.1016/j.foot.2021.101812

Cited by 3 publications

(8 citation statements)

References 17 publications

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“…There were no problems encountered in our study with this accelerated postoperative protocol, and all athletes were able to return to full competition level. Similar to previous studies using suture button devices, 4 , 5 , 7 , 9 , 11 , 14 , 19 we did not encounter any wound problems, device loosening, failure of implants, recurrent instabilities, or loss of reduction in our patient group.…”

Section: Discussionsupporting

confidence: 87%

“…Several studies, from as early as 2008, have reported the successful stabilization of Lisfranc injuries using the Arthrex Mini-TightRope system. 4 , 5 , 7 , 10 , 11 , 19 This study reports a technique of drilling from the base of the second metatarsal to the medial cuneiform. This places the oval button over the medial cuneiform, instead of the second metatarsal.…”

Section: Discussionmentioning

confidence: 99%

“…The alternative technique of drilling from the medial cuneiform to the second metatarsal has been reported in several previous case series. 4 , 5 , 8 , 9 The author believes that the technique described by Cottom et al 11 is technically less challenging and minimizes the intraoperative use of an image intensifier. In terms of surgical technique, the central difference with our study is that we used a larger 3.7-mm knotless interosseous suture button instead of the mini (2.7-mm) interosseous suture button.…”

Section: Discussionmentioning

confidence: 99%

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Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Sullivan

Peckston

Alpuerto

2022

Orthopaedic Journal of Sports Medicine

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Background: Isolated unstable Lisfranc ligament injuries in elite athletes are associated with a lengthy period of rehabilitation and prolonged absence from competition. Purpose: To assess the efficacy of a knotless, interosseous suture button system for repairing isolated unstable ligamentous Lisfranc injuries and its capacity to allow accelerated rehabilitation with earlier weightbearing and return-to-play times in elite athletes. Study Design: Case series; Level of evidence, 4. Methods: The authors retrospectively reviewed data from a prospectively compiled database for elite athletes treated by a single surgeon. All included patients had clinical and magnetic resonance imaging evidence of an unstable isolated complete ligamentous Lisfranc injury requiring surgical reduction and stabilization. All patients underwent surgery using a knotless interosseous suture button to achieve stabilization, followed by a standardized postoperative regimen involving full weightbearing at 4 weeks, and all had a minimum postoperative follow-up of 2 years. Results: Included were 12 patients: 7 National Rugby League (NRL) players, 2 professional dancers, 1 Olympic gymnast, 1 professional wakeboarder, and 1 professional NRL referee. The mean age of the patients was 21.1 years (range, 16-34 years). Ten patients underwent acute surgical stabilization within 3 weeks of the injury, and 2 patients sustained chronic isolated Lisfranc instability that was initially treated nonoperatively. All athletes were able to return to full weightbearing by 4 weeks postoperatively, successfully returned to training by 9 to 12 weeks, and returned to full competition by 12 to 16 weeks. No major complications were reported. Conclusion: Knotless interosseous suture button stabilization was a reliable treatment option for both acute and chronic isolated ligamentous Lisfranc injuries in these elite athletes. This technique does not require hardware removal, allows early weightbearing with accelerated rehabilitation, and may shorten the return-to-play interval.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Sullivan

Peckston

Alpuerto

2022

Orthopaedic Journal of Sports Medicine

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“…The authors reported excellent results however the follow-up was very short. They concluded that the use of a dynamic fixation device for ligamentous Lisfranc in young patients can be a valid choice [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…In children, Lisfranc injuries are extremely rare and little evidence exists to guide the diagnosis and management in the pediatric population. A reduced number of case series exist in the pediatric orthopedic literature [2,[4][5][6][7][8][9][10][11][12], the largest article includes only 56 patients [2]. These injuries in the pediatric population are not only rare but also present similarities to adult Lisfranc injuries, they are frequently misdiagnosed or overlooked.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Lisfranc Fracture-Dislocation: A Case Report

Ventura¹,

Ferreira²,

Rodrigues³

et al. 2022

Cureus

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Lisfranc injury is extremely rare in the pediatric population and little evidence exists to guide the treatment at this age.We present a clinical case of a rare Lisfranc fracture-dislocation at pediatric age. An 11-year-old male was admitted to the emergency department, in October 2020, after a motorcycle incident. He was diagnosed with a Lisfranc fracture-dislocation of the right foot: Myerson type B2. Fourteen days after the injury, he underwent surgical treatment with open reduction and internal fixation with 3.5 mm solid fully threaded screws.At 18 months postoperative, the patient was asymptomatic, didn't present any limitations, presented an American Orthopedic Foot and Ankle Score (AOFAS) midfoot score of 93%, and excellent results of the 12-Item Short Form Survey (SF-12) -PCS-12 (Physical Score): 52.52277 and MCS-12 (Mental Score): 62.12820. The foot maintained a good configuration without significant malalignment, however, a screw breakage occurred before the implant removal, and a premature physeal arrest developed on the base of the first metatarsal bone.Clinical and radiographic evaluation of Lisfranc injuries may be challenging in the pediatric population. Regarding the treatment, anatomical alignment is mandatory, and good or excellent outcomes have been achieved with anatomical reduction and internal fixation. We recommend early implant removal to avoid screw breakage and avoid the use of screws in the first metatarsal physis, due to the risk of premature physeal arrest.

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Treatment of a Lisfranc Injury in a 7-Year-Old Boy

Kraft

Howard

2022

JBJS Case Connector

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Case:This is a case of a 7-year-old boy with a Lisfranc injury identified on weight-bearing films who was treated successfully with closed reduction with a clamp and smooth pin fixation. This patient returned to sports without pain or radiographic signs of arthritis at 1 year.Conclusion:Lisfranc fractures and ligamentous injuries are rare and can occur in skeletally immature children. They have high potential for long-term disability if not properly diagnosed and treated. Although there is no consensus on optimal management of pediatric Lisfranc injuries, restoration of an anatomic Lisfranc joint with smooth pins and immobilization for 6 weeks is a viable treatment option.

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Lisfranc injuries in adolescents: A case report and literature review

Cited by 3 publications

References 17 publications

Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Pediatric Lisfranc Fracture-Dislocation: A Case Report

Treatment of a Lisfranc Injury in a 7-Year-Old Boy

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