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DOI: 10.1055/s-0032-1330847
Lisfranc Injury in Adolescents
Publication History
19 April 2012
05 September 2012
Publication Date:
21 November 2012 (online)
Abstract
Background There are only few studies of Lisfranc injuries in children and adolescents. The aim of this study was to evaluate the mid-term results of the operatively treated injuries.
Methods Seven Lisfranc injuries of adolescents were treated operatively in the Tampere University Hospital between 2004 and 2009. In four of the seven feet, the trauma comprised all the metatarsal bones. All patients were treated with open reduction and internal fixation. A questionnaire concerning the function and pain of the foot was sent to all the patients.
Results In all but one case, the anatomical reduction was achieved and held during the follow-up. However, most patients claimed discomfort or constant harm in the injured foot at the end of the follow-up. Still, all the patients were able to run and no one needed to wear special shoes or any other kind of means.
Conclusions Lisfranc injuries in adolescents are likely to cause constant harm, even if the anatomical reduction is achieved.
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References
- 1 Polyzois VD, Vasiliadis E, Zgonis T, Ayazi A, Gkiokas A, Beris AE. Pediatric fractures of the foot and ankle. Clin Podiatr Med Surg 2006; 23 (2) 241-255 , v
- 2 Mayr J, Peicha G, Grechenig W, Hammerl R, Weiglein A, Sorantin E. Fractures and dislocations of the foot in children. Clin Podiatr Med Surg 2006; 23 (1) 167-189 , ix
- 3 Felder-Johnson KL, Murdoch DP, McGanity P. Lisfranc's fracture-dislocation. A literature review and case presentations of tarsometatarsal joint injuries. Clin Podiatr Med Surg 1995; 12 (4) 565-602
- 4 Wiley JJ. Tarso-metatarsal joint injuries in children. J Pediatr Orthop 1981; 1 (3) 255-260
- 5 Haapamaki VV, Kiuru MJ, Koskinen SK. Ankle and foot injuries: analysis of MDCT findings. AJR Am J Roentgenol 2004; 183 (3) 615-622
- 6 Buoncristiani AM, Manos RE, Mills WJ. Plantar-flexion tarsometatarsal joint injuries in children. J Pediatr Orthop 2001; 21 (3) 324-327
- 7 Kay RM, Tang CW. Pediatric foot fractures: evaluation and treatment. J Am Acad Orthop Surg 2001; 9 (5) 308-319
- 8 Ribbans WJ, Natarajan R, Alavala S. Pediatric foot fractures. Clin Orthop Relat Res 2005; 432 (432) 107-115
- 9 Arntz CT, Veith RG, Hansen Jr ST. Fractures and fracture-dislocations of the tarsometatarsal joint. J Bone Joint Surg Am 1988; 70 (2) 173-181
- 10 Hunt SA, Ropiak C, Tejwani NC. Lisfranc joint injuries: diagnosis and treatment. Am J Orthop 2006; 35 (8) 376-385
- 11 Johnson GF. Pediatric Lisfranc injury: “bunk bed” fracture. AJR Am J Roentgenol 1981; 137 (5) 1041-1044
- 12 Chilvers M, Donahue M, Nassar L, Manoli II A. Foot and ankle injuries in elite female gymnasts. Foot Ankle Int 2007; 28 (2) 214-218
- 13 Vuori JP, Aro HT. Lisfranc joint injuries: trauma mechanisms and associated injuries. J Trauma 1993; 35 (1) 40-45
- 14 Goossens M, De Stoop N. Lisfranc's fracture-dislocations: etiology, radiology, and results of treatment. A review of 20 cases. Clin Orthop Relat Res 1983; 176 (176) 154-162
- 15 Kuo RS, Tejwani NC, Digiovanni CW , et al. Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Joint Surg Am 2000; 82-A (11) 1609-1618
- 16 Curtis MJ, Myerson M, Szura B. Tarsometatarsal joint injuries in the athlete. Am J Sports Med 1993; 21 (4) 497-502
- 17 Mulier T, Reynders P, Dereymaeker G, Broos P. Severe Lisfrancs injuries: primary arthrodesis or ORIF?. Foot Ankle Int 2002; 23 (10) 902-905
- 18 Ly TV, Coetzee JC. Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study. J Bone Joint Surg Am 2006; 88 (3) 514-520
- 19 Resch S, Stenström A. The treatment of tarsometatarsal injuries. Foot Ankle 1990; 11 (3) 117-123