Foot Trauma
A 32-year-old man presents after a motorcycle accident with midfoot pain and swelling. He cannot bear weight. Radiographs show subtle widening between the first and second metatarsal bases with loss of alignment between the medial border of the second metatarsal and the medial border of the middle cuneiform. A "fleck sign" is noted at the base of the second metatarsal. Regarding Lisfranc injuries:
Mark each as TRUE or FALSE
The Lisfranc ligament connects the medial cuneiform to the base of the second metatarsal; it is the ...
Mechanisms include high-energy (MVA, falls from height) with obvious deformity and low-energy (twist...
The Lisfranc ligament connects the second metatarsal to the lateral cuneiform; it is a minor stabili...
Diagnosis requires high clinical suspicion; weight-bearing radiographs are essential when tolerated;...
Treatment depends on stability: stable injuries (no diastasis on weight-bearing views) may be manage...
Answer the questions to see explanations
Click T (True) or F (False) for each option