What are the signs and symptoms of Lisfranc fracture dislocation?

Updated: Apr 20, 2020
  • Author: Nirmal Tejwani, MD, MPA; Chief Editor: Thomas M DeBerardino, MD  more...
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Clinical signs of Lisfranc injury are the following:

  • Swelling out of proportion with a normal radiograph
  • Plantar midfoot ecchymosis (see the image below)
  • Pain along the tarsometatarsal (TMT) joints with palpation, motion, or weightbearing
  • Midfoot instability
Clinical identification of typical plantar ecchymo Clinical identification of typical plantar ecchymosis pattern observed in Lisfranc injuries.

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