Episode 118: Lisfranc Injury

The podcast addresses Lisfranc injuries, which involve disruption of the tarsometatarsal joint complex, and emphasizes the importance of early diagnosis to prevent long-term complications. It notes that these injuries, while uncommon, are frequently missed due to subtle or absent X-ray findings. The discussion covers mechanisms of injury, differentiating between low-energy (rotational or axial force on a plantar flexed foot) and high-energy traumas (MVCs, crush injuries), and highlights key exam findings such as midfoot pain, swelling, plantar ecchymosis, and pain during specific maneuvers like the piano key test. The podcast underscores the necessity of thorough neurovascular exams and imaging, advocating for CT scans when X-rays are inconclusive, and concludes with treatment guidelines, stressing the importance of orthopedic consultation and appropriate splinting based on injury stability.