Which physical findings are characteristic of Lisfranc fracture dislocation?

Updated: Apr 20, 2020
  • Author: Nirmal Tejwani, MD, MPA; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

For all suspected injuries, a careful workup is warranted. Even significant injuries can reduce spontaneously, thereby hiding the initial deformity. The exaggerated swelling is the key in the differential diagnosis of subtle injuries.

Special attention should be paid to patients with decreased sensation in the feet (eg, those with diabetes) because they may be at greater risk for progressive neuropathic changes. Likewise, trauma patients who are nonweightbearing because of other injuries should be carefully screened and examined in the presence of midfoot pain or characteristic ecchymosis.


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