Irreducible Lisfranc dislocation due to the interposition of the tibialis anterior tendon: case report and literature review

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
Konstantinos KaraindrosPloutarxos Siakandaris

Abstract

We report a case of a lateral type A (according to Myerson) Lisfranc dislocation irreducible by closed manipulation. Upon surgical exploration the lateral slip of the tibialis anterior tendon was found trapped between the medial and the middle cuneiform. Once the tendon was reduced, the dislocated first ray spontaneously reverted to its anatomical position and the joint was fixed with Kirschner wires. Seven similar cases have been reported in the literature. After analysis of all the reported cases we were able to describe a pattern of injury that may predict tibialis anterior interposition: (a) lateral type A according to Myerson dislocation; (b) after closed manipulation the 1st ray remains dislocated while the 5th metatarsal reduces; (c) there is a gap between the medial and the middle cuneiform or a fracture at the base of the 2nd metatarsal.

References

Nov 1, 1981·The Journal of Trauma·W F Blair
Jun 1, 1980·The Journal of Trauma·J R Denton
Jul 1, 1994·Foot & Ankle International·H B KitaokaM Sanders
May 1, 1997·Injury·M J AshworthD M Williamson
Oct 26, 1999·The Journal of Bone and Joint Surgery. British Volume·M S Myerson
Jul 24, 2001·The Orthopedic Clinics of North America·C P Chiodo, M S Myerson
May 23, 2003·Foot and Ankle Clinics·Terry PhilbinJames J Sferra
Aug 19, 2004·Injury·Andrew K Sands, Andrew Grose
Feb 18, 2006·Injury·Bishan RajapakseThin Hong

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Citations

Dec 16, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jordy van RijnSjors Moonen
Jan 27, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Roman M Natoli, Hobie D Summers
Sep 4, 2012·Foot and Ankle Clinics·Caio NeryJosé Felipe Marion Alloza
Feb 6, 2021·Foot and Ankle Clinics·Jorge BricenoAndrea Veljkovic

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