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OrthoVellum

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Foot & Ankle
intermediate
X-Type

Lisfranc Injury Tarsometatarsal

Midfoot Injuries

A 35-year-old woman presents after a low-energy twisting injury to her foot. She has pain with weight-bearing and swelling over the midfoot. Examination reveals plantar ecchymosis and pain with passive abduction of the forefoot. Weight-bearing radiographs show 3mm widening between the medial cuneiform and base of the second metatarsal compared to the uninjured side. Regarding Lisfranc (tarsometatarsal) injuries:

Mark each as TRUE or FALSE

A

The Lisfranc ligament is the key stabilizer, running obliquely from the medial cuneiform to the base...

B

Clinical findings include midfoot swelling, plantar ecchymosis (highly specific), pain with passive ...

C

The Lisfranc ligament connects the first metatarsal to the cuboid; there is a strong ligament betwee...

D

Myerson classification: Type A (total incongruity), Type B1 (partial - medial), Type B2 (partial - l...

E

Missed or inadequately treated Lisfranc injuries lead to post-traumatic arthritis, chronic pain, and...

Answer the questions to see explanations

Click T (True) or F (False) for each option