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J Athl Train. 1992; 27(1): 24, 26.
PMCID: PMC1317124

A Lisfranc's Fracture-Dislocation in a Collegiate Football Player

Abstract

The Lisfranc's fracture-dislocation is an extremely serious injury that needs immediate recognition and treatment. In displaced fractures, swelling and deformity will be evident. But, often, because of spontaneous reduction, chronic midfoot pain and arthritis may result if the injury goes unrecognized. The tarsometatarsal joint, referred to as Lisfranc's joint, can be fractured and dislocated by direct or indirect forces. In football, one possible injury mechanism occurs when a foot that is planted on the ground receives an axial force applied to the heel as the forefoot is hyperextended. Using a classification system, the dislocation can be identified and treated in reference to the damage done. Treatment should consist of a thorough examination, including evaluation of the vascular supply. The athlete should be immobilized and transported properly, nonweight-bearing, for medical referral. Correct rehabilitation will allow the athlete to return to competition.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Arntz CT, Veith RG, Hansen ST., Jr Fractures and fracture-dislocations of the tarsometatarsal joint. J Bone Joint Surg Am. 1988 Feb;70(2):173–181. [PubMed]
  • Hardcastle PH, Reschauer R, Kutscha-Lissberg E, Schoffmann W. Injuries to the tarsometatarsal joint. Incidence, classification and treatment. J Bone Joint Surg Br. 1982;64(3):349–356. [PubMed]
  • Micheli LJ, Sohn RS, Solomon R. Stress fractures of the second metatarsal involving Lisfranc's joint in ballet dancers. A new overuse injury of the foot. J Bone Joint Surg Am. 1985 Dec;67(9):1372–1375. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association