Lisfranc Injury and Jones Fracture in Sports

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Lisfranc Injury and Jones Fracture in Sports Bora Rhim, DPM, Joshua C. Hunt, BA Clinics in Podiatric Medicine and Surgery Volume 28, Issue 1, Pages 69-86 (January 2011) DOI: 10.1016/j.cpm.2010.09.003 Copyright © 2011 Terms and Conditions

Fig. 1 (A) Significant swelling and ecchymosis shown dorsally from midfoot spain. (B) Plantar medial ecchymosis commonly observed in Lisfranc injury. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions

Fig. 2 (A) AP non-weight bearing foot radiograph, there is diastasis observed between 1st and 2nd metatarsals. (B) Oblique foot radiograph shows 2nd, 3rd, 4th metatarsal base fractures. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions

Fig. 3 (A, B) Axial and coronal views of CT scan confirming TMT injury. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions

Fig. 4 (A–C) Post-operative AP, oblique, lateral radiographs showing open reduction internal fixation of TMT using solid screws and percutaneous K-wire. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions

Fig. 5 Three subanatomic fracture zones of proximal fifth metatarsal fractures. (A) Zone 1: Avulsion fracture. (B) Zone 2: Jones fracture. (C) Zone 3: Diaphyseal stress fracture. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions

Fig. 6 (A) A division I basketball player who underwent intermedullary screw fixation for acute Jones fracture using a 4.0 mm cannulated screw. Patient developed nonunion 8 months after returning to his sport. (B, C) With the development of nonunion, oblique and lateral views showed bent intermedullary screw. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions

Fig. 7 (A) Post-operative radiograph demonstrating revision surgery to the nonunion site with 6.5 mm solid screw with bone graft. (B) Post-operative lateral radiograph showing good alignment of the screw. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions

Fig. 8 (A) Prior to allowing the athlete to return to playing basketball, CT scan was ordered. CT scan confirmed complete fusion at the nonunion site. (B) Sagittal view of CT scan demonstrating complete union. Clinics in Podiatric Medicine and Surgery 2011 28, 69-86DOI: (10.1016/j.cpm.2010.09.003) Copyright © 2011 Terms and Conditions