Foot Fractures (Subscribe)  

Reports from Medscape Orthopaedics and Sports Medicine 1999
Ipsilateral femoral neck and shaft fractures
Fracture Healing in Tibia Fractures With an Associated Vascular Injury
The Treatment of Lisfranc Injuries
Open Fractures of the Patella: Long-term Functional Outcome

Discussion:
- injuries to cuboid may be accompanied by impaction with loss of bone stock;
Associated Injuries:
- navicular tuberosity fracture:
- Lisfranc fracture:
- midfoot/forefoot fractures:
- midtarsal injuries:
Wheeless' Textbook of Orthopaedics

Archived copy
trauma to the right foot six months ago,with loss of bone and soft tissue. A Gustilo grade III-B.

Severe injuries to the foot can result in significant long-term disability. Multiple fractures or dislocations of the feet often initially get overlooked in cases of multiple, severe trauma. Any delay in providing adequate treatment increases the risk of post-traumatic osteoarthritis. Other potential complications include compartment syndromes or vascular injuries.

Article by Robert Silbergleit, MD, Associate Professor, Department of Emergency Medicine, University of Michigan Medical School
Contents -Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Pictures Bibliography
Synonyms and related keywords: broken foot, toe fracture, broken toe, first metatarsal fracture, internal metatarsal fracture, fifth metatarsal fracture, proximal avulsion fracture, Jones fracture, Jones'...

fx base of 5th metatarsal

- involves fracture at base of fifth metatarsal at metaphyseal-diaphyseal junction, which typically extends into the 4-5 intermetatarsal facet;
- Jones fracture is located w/in 1.5 cm distal to tuberosity of 5th metatarsal & should not be confused w/ more common avulsion fracture of 5th metatarsal styloid;
Wheeless' Textbook of Orthopaedics

Jacques Lisfranc (1790-1847) was a field surgeon in Napoleon's army serving on the Russian front. He wrote about a new amputation technique to treat forefoot gangrene from frostbite. This technique involved a route following a series of joints to avoid having to take the time to cut through bone. This...

tarsal-metatarsal fracture-dislocation
* trauma
* diabetes (neuropathic)

The tarsometatarsal joints are collectively known as the "Lisfranc joint" after the Baron de Lisfranc, a Napoleonic army surgeon who described an amputation through the foot at this level."Lisfranc injuries" refers to a group of bony and/or soft tissue injuries which affect the tarsometatarsal and sometimes other midfoot and forefoot elements.

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...

Lisfranc injuries occur at the midfoot, where a cluster of small bones forms an arch on top of the foot between the ankle and the toes. From this cluster, five long bones (metatarsals) extend to the toes. The second metatarsal also extends down into the row of small bones and... Highly Reputable

mechanism:
- because 2nd metatarsal is the longest metatarsal proximally, it will often be fractured at its base, with the other metatarsals dislocated;
- dorsal capsule of Lisfranc's joint, lacking sufficient reinforcement, will fail to support the load and will collapse, resulting in dorsal fracture dislocation of the metatarsal bases;
Wheeless' Textbook...

* stress or fatigue fracture of the metatarsals
* seen in military recruits (a/w marching)

Fractures in the foot are common, and the metatarsals are among the bones most commonly fractured. The injury may be an acute fracture, which is usually due to dropping of heavy objects on foot, or due to a stress fracture secondary to abnormal repetitive trauma in normal bone. Alternatively, a...