Lisfranc injury caused by a pedal brake perforating the foot

Description: T he tarsometatarsal joint or Lisfranc joint is a complex articulation whose stability is provided by the osseous, capsular and ligamentous attach- ments. Lisfranc lesions (LFLs) are commonly fracture-dislocations of the Lisfranc joint and are generally caused by high-energy trauma.1 Since publica- tion of the classification of LFLs by Hardcastle and colleagues,2 based on the work by Qenu and Kuss, many papers have dealt with their anatomic patterns, treatment and prognosis, each of which is open to questions. However, the main area of controversy has been the modalities of surgical stabilization.2–4 We report the case of a patient with fracture-dislocation of the Lisfranc joint, treated surgically with the use of K-wires, in which the mechanism of injury was unusual.
A.D. Kacou, E.J.B. Sié, I. Bamba, A. Traoré, Y. Lambin Can J Surg, Vol. 52, No. 3, June 2009 E64 (full text)