The Lisfranc fracture is a fracture of the foot in which one or all of the metatarsals are displaced from the tarsus.[1]
It is named after 18th- and 19th-century surgeon and gynecologist Jacques Lisfranc de St. Martin.[2]
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This type of injury classically occurred when a horseman fell while riding, having trapped his foot in the stirrup or fallen into a drain. At present, such an injury happens typically in activities such as windsurfing (where participants' feet are in foot straps that pass over the metatarsals), or when one steps into a hole and the foot twists heavily. Falling from a height of two or three stories can also cause this fracture. American football players occasionally get this injury, such as Matt Schaub and Darren McFadden in 2011, often when they have their foot pointing down and someone lands on their heel.
There are three classifications for the fracture:
Treatment options include operative or non-operative treatment. If the dislocation is less than 2 mm, the fracture can be managed with casting for 6 weeks. The patient's injured limb cannot bear weight during this period. For operative treatment, screws +/- k-wire will be used for internal fixation of the fracture after closed or more likely open reduction. Again, the patient's injured limb should not bear weight for approximately 6–12 weeks. The screws/k-wires are usually removed later, sometimes before weight bearing.
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