Lisfranc fracture4/24/2023 Subsequently, a fracture of the plantar metatarsal base or rupture of the plantar capsule allows the metatarsal bases to dorsally displace.The axial force results in hyperplantarflexion of the foot, causing a tension failure of the weak dorsal ligaments.One mechanism occurs from plantarward bending of the metatarsal or a plantarflexed foot associated with a rotational or axial load.Less commonly due to indirect trauma and low energy forces.Greater risk risk for complications such as open injury, compartment syndrome, wound dehiscence, and vascular disruptions.Not associated with any specific fracture pattern.Direct crush or significant impact to the midfoot leading to fractures and dislocations of the tarsometatarsal joints.Most commonly, falls from height and road traffic accidents.Most commonly occur from direct trauma, high energy forces.Encompasses a broad spectrum of injuries with varying severity from ligamentous sprains to high energy comminuted fracture pattern. ![]()
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