The area known as lisfranc
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The Lisfranc joint is located in the midfoot and connects the metatarsals to the tarsus bones. It gets its name from a French surgeon who first described an amputation through this joint. Injuries to the Lisfranc joint are often caused by high-energy trauma that disrupts the normal alignment of the metatarsal bones. Proper diagnosis requires examination and weight-bearing x-rays to assess for displacement or instability. Treatment depends on the severity and stability of the injury, ranging from casting to surgical repair.
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Lisfranc injuries
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1) A Lisfranc injury involves trauma to the tarsometatarsal (TMT) joints of the midfoot, ranging from ligament sprains to fracture dislocations.
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A Lisfranc injury involves fracture or ligament disruption of the tarsometatarsal joint complex of the midfoot. It results from high-energy twisting or axial loading injuries and often requires surgical fixation to achieve proper anatomical reduction. Non-operative treatment may be considered for non-displaced or minimally displaced injuries. Proper diagnosis involves weight-bearing radiographs to assess joint congruity, and sometimes CT or MRI. Surgical management focuses on anatomical reduction and stable fixation of the joints to allow early weight bearing and prevent post-traumatic arthritis.Lisfranc injury-
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Lisfranc injuriesAnshul Sethi
油
This document discusses Lisfranc injuries, which involve fractures or dislocations of the tarsometatarsal joint complex of the midfoot. It covers the relevant anatomy, mechanisms of injury including twisting, axial loading and crush injuries. Clinical presentation includes midfoot pain and swelling. Classification systems describe the pattern of injury. Imaging with x-rays, CT and MRI can identify fractures and ligament disruptions. Treatment may involve casting or surgical repair and stabilization to restore normal anatomical alignment. Complications can include arthritis, infection and painful hardware.Lisfranc
Lisfrancvickydeepu05
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1) A Lisfranc fracture is a fracture or dislocation of the tarsal bones where they meet the bases of the metatarsal bones in the midfoot.
2) It is usually caused by high-energy twisting injuries or axial loading with the foot fixed. Common mechanisms are falls from heights or motor vehicle accidents.
3) Diagnosis involves x-rays of the foot, and sometimes CT or MRI to further evaluate bone and ligament injuries. Operative treatment is usually needed for displaced fractures to restore the normal alignment of the bones.Lisfranc injuries
Lisfranc injuriesLalisaMerga
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This document provides an overview of Lisfranc injuries, which involve the tarsometatarsal joint complex connecting the midfoot and forefoot. It describes the relevant anatomy, including the key Lisfranc ligament. Common mechanisms of injury are sports-related or high-energy trauma causing hyperextension or plantarflexion. Clinical presentation involves midfoot pain and swelling. Diagnosis relies on imaging like x-rays showing bone displacement. Injuries are classified based on the direction of metatarsal displacement. Treatment options include closed reduction for minor injuries or open reduction with internal fixation for severe fractures or dislocations.Approach to foot x ray.pdf
Approach to foot x ray.pdfmkakmal2012
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This document provides guidance on taking and interpreting foot x-rays. It discusses the standard views taken - AP, lateral, and oblique. It describes how to evaluate bones, cartilage, and joints of the foot seen on each view, including the talus, calcaneus, navicular, cuboid, cuneiforms, and metatarsals. Common fractures like Jones fractures of the 5th metatarsal and Lisfranc injuries are explained. Interpretation of the calcaneal-cuboid angle and Lisfranc ligament integrity are important. Neuropathic conditions like Charcot foot and midfoot injuries such as Chopart fractures are also briefly covered.Lisfranc injury
Lisfranc injurysanthusha heshan
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Lisfranc injuries involve dislocations of the tarsometatarsal joints of the midfoot. They are named after Jacques Lisfranc de St. Martin, a French surgeon from the 1800s. Clinically, patients experience midfoot pain made worse with weight bearing and stress tests of the midfoot. Imaging like x-rays can reveal misalignments of bones in the midfoot. Treatment may involve casting without weight bearing for non-surgical cases or surgery to realign bones with internal fixation for more severe injuries.Mid foot lisfranc fracture
Mid foot lisfranc fractureAbhishek Sachdev
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This document discusses Lisfranc injuries, which involve dislocation of the tarsometatarsal joint complex. It describes the relevant anatomy, mechanisms of injury, classification systems, diagnostic imaging findings, treatment options including closed or open reduction with fixation, and post-operative management. Proper diagnosis requires a high index of suspicion as these injuries can be easily missed. Anatomic reduction and fixation are essential to optimize outcomes.Lisfranc injury
Lisfranc injurySubodh Pathak
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A Lisfranc injury involves trauma to the tarsometatarsal joint complex of the midfoot. Left untreated or misdiagnosed, it can significantly impair a patient's mobility and quality of life. The document discusses the anatomy of the Lisfranc joint and ligaments, mechanisms of injury, classification systems, clinical and radiographic evaluation methods, and management approaches. Treatment may involve closed reduction, surgical fixation, or arthrodesis depending on the injury severity and degree of displacement. The goal is to restore anatomical alignment and joint stability for optimal long-term outcomes.Dr Anuj Dr Tarun LISFRANC INJURY.pdf
Dr Anuj Dr Tarun LISFRANC INJURY.pdfanuj700257
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Lisfranc injuries involve dislocations or fractures at the tarsometatarsal joint complex of the midfoot. This joint complex connects the tarsal bones of the midfoot to the bases of the metatarsal bones and is an important stabilizer of the longitudinal arch. Lisfranc injuries are often caused by high-energy trauma like motor vehicle accidents. Clinical features include pain and swelling in the midfoot region making it difficult to bear weight. X-rays can reveal bone displacements at the joint. Treatment involves surgical repair through open reduction and internal fixation using screws to restore normal bone alignment, followed by non-weightbearing casting.Lis Franc Injury
Lis Franc Injuryjfreshour
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The Lisfranc joint was named after a field surgeon who described an amputation through the joint due to gangrene from an injury sustained after a soldier fell from a horse. Lisfranc injuries account for less than 1% of fractures and can result from high-energy trauma or less stressful twisting injuries. Diagnosis can be difficult as swelling and pain in the midfoot region are often the only findings. Treatment involves immobilization for mild sprains but surgery within 1-2 days for fractures or dislocations to ensure proper healing and prevent long-term disability. Surgical techniques include open reduction and internal fixation to anatomically realign the bones which allows for better functional outcomes compared to fusion or casting.Lisfranc injury
Lisfranc injurySantosh Batajoo
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The document summarizes Lisfranc injuries, which involve disruptions at the tarsometatarsal joint complex in the midfoot. It describes the anatomy of the Lisfranc joint, classification systems for Lisfranc injuries, mechanisms of injury, clinical presentation, imaging, treatment approaches including casting, closed or open reduction, and potential complications. Treatment depends on the severity and involves cast immobilization, percutaneous fixation, or open reduction and internal fixation with screws.Ankle instability
Ankle instabilityLalisaMerga
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This document discusses ankle instability and chronic ankle sprains. It begins by describing the anatomy of the ankle joint and its ligaments. It then explains that ankle sprains are common injuries, often caused by an inversion mechanism. Chronic ankle instability can develop after repeated sprains and is characterized by recurrent sprains, pain, and a feeling of the ankle giving way. Treatment of ankle sprains focuses on RICE initially, followed by bracing and physical therapy to improve strength, range of motion and proprioception. Surgery is rarely needed except for severe, unresolving cases.Lisfranc injuries
Lisfranc injuriesPraveen Kumar Reddy Gorantla
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1) A Lisfranc injury involves damage to the ligaments and bones in the midfoot region where the metatarsals connect to the tarsus.
2) It is important to properly diagnose and treat Lisfranc injuries, as untreated or misdiagnosed injuries can lead to long-term functional limitations.
3) Diagnosis involves clinical exam, weight-bearing x-rays, and sometimes advanced imaging like CT or MRI. Surgical treatment aims to restore proper alignment and stabilize the injured joints through open reduction and internal fixation.bone trauma common fractures long bone.ppt
bone trauma common fractures long bone.pptHajar DrAbdullah
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The document discusses various types of musculoskeletal injuries, including soft tissue and bone injuries, and their classification based on severity. It outlines diagnostic methods, particularly the use of MRI and radiographs, to assess fractures and dislocations, detailing specific types of fractures such as complete, incomplete, comminuted, and stress fractures. Additionally, it covers the evaluation of common injuries in areas like the shoulder, elbow, forearm, wrist, and hip, providing insights into typical fracture patterns and relevant anatomical considerations.Ankle And Foot
Ankle And FootEM OMSB
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This appears to be a typical ankle sprain. RICE and functional immobilization is appropriate initial management.LISFRANC INJURIES.ppt
LISFRANC INJURIES.pptBiehasAlwakaf1
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1) Lisfranc injuries involve the tarsometatarsal joints of the midfoot and can occur due to both low and high-energy impacts.
2) Diagnosis involves examining for pain and swelling in the midfoot as well as imaging like x-rays and CT scans to identify bone displacements or fractures in the tarsometatarsal region.
3) Treatment depends on the stability and severity of the injury, ranging from casting for stable injuries to open reduction and internal fixation using screws for unstable injuries in order to properly realign the bones.BIMALLEOLAR FRACTURES mechanism and anapath.pptx
BIMALLEOLAR FRACTURES mechanism and anapath.pptxWailAggoun
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The document provides an in-depth overview of bimalleolar fractures, detailing their definition, mechanisms of injury, and associated anatomical and pathological classifications. It describes the injury mechanisms such as direct shock and specific movements like abduction and adduction, as well as outlines various classification systems like Lauge-Hansen and Danis-Weber. The conclusion emphasizes the importance of understanding the mechanisms of these fractures for treatment and prevention.Ad
The area known as lisfranc
- 1. The Lisfranc joint, or tarsometatarsal articulation of the foot, is named for Jacques Lisfranc (1790-1847), a field surgeon in Napoleon's army. Lisfranc described an amputation performed through this joint because of gangrene that developed after an injury incurred when a soldier fell off a horse with his foot caught in the stirrup.1,2<br />The area known as Lisfranc's joint represents the transition between the midfoot and forefoot. It consists of the three cuneiform-metatarsal articulations and the two cuboid-metatarsal articulations of the fourth and fifth rays<br />The osseus alignment of this joint complex is important to understand for treatment considerations.The first articulation is a broad surface, usually 3 cm deep, and with a broad plantar base and dorsal apex. <br />The bony architecture of this joint, specifically the \" keystone\" wedging of the second metatarsal into the cuneiform, forms the focal point that supports the entire tarsometatarsal articulation.2 This anatomy establishes a \" weak link\" that, with stress, is prone to injury. The second and third are much smaller and triangular in shape with the apex plantar. The second is recessed from the first by approximately 1 cm and from the third by 0.5 cm. <br />The fourth and fifth are more trapezoidal in shape and lie in a separate plane plantar and lateral to the joints of the medial column. The inherent stability of this region is due in part to the recessed second metatarsal base but even to a greater degree to the numerous strong ligamentous attachments across each tarsometatarsal joint and between each ray.<br />The important characteristics to note are as follows: (a) the plantar ligaments are significantly stronger than the dorsal ligaments; (b) the multiple ligaments overlap among the joints of the lesser four tarsometatarsal joints; and (c) the Lisfranc ligament, which is the largest and strongest ligament of this joint complex, represents the only ligamentous support between the medial leg and the middle and lateral legs in the forefoot.<br />The Lisfranc ligament is a large band of plantar collagenous tissue that spans the articulation of the medial cuneiform and the second metatarsal base .The Lisfranc ligament originates from the plantar lateral aspect of the medial cuneiform just below the plantar extent of the second tarsometatarsal joint and inserts on the plantar and medial aspect of the second metatarsal base. At best it is an indirect link between the first and second metatarsals. There is no ligamentous connection between the first and second metatarsals.<br />Mechanisms of Injury----Lisfranc joint complex injury can occur as a result of direct or indirect trauma.3,11 Direct trauma occurs when an external force strikes the foot. With indirect trauma, force is transmitted to the stationary foot so that the weight of the body becomes a deforming force by torque, rotation or compression<br />The diagnosis is based on careful physical examination of the foot in question. In the case of isolated injury, pain anywhere over the tarsometatarsal joint complex is significant for a possible injury. Passive dorsiflexion and plantarflexion of individual metatarsal heads will elicit pain at the proximal articulations. Pain at the midfoot with attempted single limb heel lift also points to a potential Lisfranc injury. The presence of plantar ecchymosis is also suggestive of ligamentous injury.<br />X-ray evaluation is crucial in the diagnosis and treatment of this injury. It is used to assess the stability of the joint and to catalog the presence of collateral injuries. If possible at the time of presentation, weight-bearing films of the foot in an anteroposterior, lateral, and 30-degree medial oblique position should be obtained<br />On each of the three views, the observer is looking for a disruption of the normal in line arrangement between the metatarsal base and the opposing tarsal bone. The AP view allows assessment of the alignment of the lateral border of the first cuneiform with the first metatarsal base and the medial border of the second metatarsal base with the second cuneiform. The 30-degree oblique view shows the alignment of the medial border of the third metatarsal with the lateral cuneiform and the medial border of the fourth metatarsal base with the medial border of the cuboid. The lateral view allows a rough assessment of the alignment of the dorsum of the second metatarsal with the middle cuneiform. The position of the second metatarsal on the AP view and the position of the fourth metatarsal on the oblique are the most consistent indicators for unstable injuries.<br />TABLE 56-5 Closed Management of Tarsometatarsal InjuriesIndications <2 mm displacement of the tarsometatarsal joint in any plane No evidence of joint line instability with weight-bearing or stress x-rays Treatment Short leg non-weight-bearing cast for up to 6 weeks Recheck stability with stress views at 10 days from injury Progressive weight-bearing in protective brace as symptoms abate <br />The definition of instability presently is defined as a greater than 2-mm shift in normal joint position. The presence of instability in this region requires anatomic reduction. It is generally agreed that the best results are obtained through anatomic reduction and stable fixation<br />Classification<br />Type A Injuries <br />Type A injuries involve displacement of all five metatarsals with or without fracture of the base of the second metatarsal. The usual displacement is lateral or dorsolateral, and the metatarsals move as a unit. These injuries are referred to as homolateral. <br />Type B Injuries <br />In type B injuries, one or more articulations remain intact. Type B1 injuries are medially displaced, sometimes involving the intercuneiform or naviculocuneiform joint. Type B2 injuries are laterally displaced and may involve the first metatarsalcuneiform joint.<br />Type C Injuries <br />Type C injuries are divergent injuries and can be partial (C1) or complete (C2). These generally are high-energy injuries, associated with significant swelling, and prone to complications, especially compartment syndrome.<br />