We describe three cases of low-energy injuries to the midfoot resulting in rupture of Lisfranc's ligament without tarsometatarsal injury. Examination of the feet revealed an obvious physical sign only on weightbearing, and all three patients were noted at surgery to have intercuneiform instability in association with a rupture of Lisfranc's ligament.
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References
1.
CainP.R.SeligsonD.: Lisfranc's fracture-dislocation with intercuneiform dislocation: presentation of two cases and a plan for treatment. Foot Ankle, 2:156–160, 1981.
2.
FaciszewskiT.BurksR.T.ManasterB.J.: Subtle injuries of the Lisfranc joint. J. Bone Joint Surg. Am., 73:1519–1522, 1990.
MantasJ.P.BurksR.T.: Lisfranc injuries in the athlete. Clin. Sports Med., 13:719–730, 1994.
5.
O'DonoghueD.H.: Treatment of Injuries in Athletes, 3rd Ed.Philadelphia, W.B. Saunders, 1976, pp. 760–762.
6.
RossG.CroninR.HauzenblasJ.JulianoP.: Plantar ecchymosis sign: a clinical aid to diagnosis of occult Lisfranc tarsometatarsal injuries. J. Orthop. Trauma, 10:119–122, 1996.
7.
YamashitaF.SakakidaK.HaraK.SenpoK.: Diastasis between the medial and the intermediate cuneiforms. J. Bone Joint Surg. Br., 75:156–157, 1993.
