TMT Arthritis
A 52-year-old woman presents with 18 months of progressive midfoot pain after a twisting injury. She has pain with walking, especially on uneven surfaces. Examination reveals dorsal tenderness over the second tarsometatarsal joint with palpable dorsal prominence. Weight-bearing radiographs show loss of the normal alignment between the medial border of the second metatarsal and the medial border of the middle cuneiform, with joint space narrowing and dorsal osteophytes at the second and third TMT joints. Regarding tarsometatarsal (Lisfranc) arthritis and its management:
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Post-traumatic arthritis is the most common cause of TMT arthritis, typically following missed or un...
The Lisfranc ligament connects the medial cuneiform to the base of the second metatarsal; it is the ...
The lateral column (fourth and fifth TMT joints) should be included in arthrodesis for isolated medi...
Arthrodesis is the gold standard surgical treatment for symptomatic TMT arthritis that fails conserv...
Weight-bearing radiographs are essential for diagnosis; the fleck sign (avulsion fragment between fi...
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Click T (True) or F (False) for each option