Episode 76.0 – The Lisfranc Injury
This week we discuss Lisfranc injuries with a focus on a diagnostic pathway and management.
Show Notes
Take Home Points
- A Lisfranc injury is a midfoot injury that results in displacement of one or more of the metatarsal bones from tarsus.
- XR will show widening of the space between the 1st and 2nd metatarsals. Getting contralateral XR may help you identify this.
- Even if you don’t see that widening on the XR, the patient could still have a Lisfranc injury. If they cannot walk due to pain, get a weight bearing XR or CT scan to look further.
- Once the injury is identified, the patient must be strict non-weightbearing. Place them in a posterior splint and get orthopedics involved either in the ED or for prompt follow up as the patient will probably need surgery.
