Lisfranc Injury in a National Hockey League Player: A Case Report

Abstract

Tarsometatarsal joint dislocations and fracture-dislocations are uncommon injuries most frequently resulting from high-energy trauma as encountered in crush injuries, falls, and motor vehicle accidents. Although less common in athletes, this injury is being recognized with greater frequency and may carry a poor prognosis for return to high levels of competition. These injuries present a considerable challenge to orthopedic surgeons caring for athletes because of the prolonged period of recovery often required [[1], [2], [5], [6], [12]]. The literature contains descriptions of this injury in football players, gymnasts, tennis players, and track and field athletes [[2], [5], [9]]. To our knowledge, no report of such a Lisfranc injury to a hockey player has been described. This is a case report of a National Hockey League player that sustained a Lisfranc injury requiring surgical stabilization, but was able to return to elite hockey play.

lisfranc - hockey - foot

References

• 1 Arntz C T, Veith R G, Hansen S T. Fractures and fracture-dislocations of the tarsometatarsal joint.  J Bone Joint Surg. 1998;  70-A 173-181
• 2 Curtis M J, Myerson M, Szura B. Tarsometatarsal joint injuries in the athlete.  Am J Sports Med. 1993;  21 497-502
• 3 Faciszewski T, Burks R T, Manaster B J. Subtle injuries of the Lisfranc joint.  J Bone Joint Surg. 1990;  72-A 1519-1522
• 4 Kuo R S, Tejwani N C, Digiovanni C W. et al . Outcome after open reduction and internal fixation of Lisfranc joint injuries.  J Bone Joint Surg. 2000;  82-A 1609-1618
• 5 Mantas J P, Burks R T. Lisfranc injuries in the athlete.  Clin Sports Med. 1994;  13 719-730
• 6 Meyer S A, Callaghan J J, Albright J P. et al . Midfoot sprains in collegiate football players.  Am J Sports Med. 1994;  22 392-401
• 7 Myerson M S. The diagnosis and treatment of injuries to the Lisfranc joint complex.  Orthop Clin North Am. 1989;  20 655-664
• 8 Myerson M S, Fisher R T, Burgess A R. et al . Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment.  Foot Ankle. 1986;  6 225-242
• 9 Nunley J A, Vertullo C J. Classification, investigation, and management of midfoot sprains: Lisfranc injuries in the athlete.  Am J Sports Med. 2002;  30 871-878
• 10 Richter M, Wippermann B, Krettek C. Fractures and fracture dislocations of the midfoot: occurrence, causes and long-term results.  Foot Ankle Int. 2001;  22 392-398
• 11 Rutledge E W, Templeman D C, de Souza L J. Evaluation and treatment of Lisfranc fracture-dislocation.  Foot Ankle Clinics. 1999;  4 603-615
• 12 Shapiro M S, Wascher D C, Finerman G A. Rupture of Lisfranc's ligament in athletes.  Am J Sports Med. 1994;  22 687-691
• 13 Thordarson D B. Lisfranc ORIF with absorbable fixation.  Tech Foot & Ankle Surg. 2003;  2 21-26
• 14 Thordarson D B, Huvitz G. PLA screw fixation of Lisfranc injuries.  Foot Ankle Int. 2002;  23 1003-1007
• 15 Wiley J J. The mechanism of tarso-metatarsal joint injuries.  J Bone Joint Surg. 1971;  53 474-482
• 16 Wiss D A, Kull D M, Perry J. Lisfranc fracture-dislocations of the foot: a clinical kinesiological study.  J Orthop Trauma. 1998;  1 267-274