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Lisfranc Injury and Jones Fracture in Sports

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Presentation on theme: "Lisfranc Injury and Jones Fracture in Sports"— Presentation transcript:

1 Lisfranc Injury and Jones Fracture in Sports
Bora Rhim, DPM, Joshua C. Hunt, BA  Clinics in Podiatric Medicine and Surgery  Volume 28, Issue 1, Pages (January 2011) DOI: /j.cpm Copyright © Terms and Conditions

2 Fig. 1 (A) Significant swelling and ecchymosis shown dorsally from midfoot spain. (B) Plantar medial ecchymosis commonly observed in Lisfranc injury. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions

3 Fig. 2 (A) AP non-weight bearing foot radiograph, there is diastasis observed between 1st and 2nd metatarsals. (B) Oblique foot radiograph shows 2nd, 3rd, 4th metatarsal base fractures. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions

4 Fig. 3 (A, B) Axial and coronal views of CT scan confirming TMT injury. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions

5 Fig. 4 (A–C) Post-operative AP, oblique, lateral radiographs showing open reduction internal fixation of TMT using solid screws and percutaneous K-wire. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions

6 Fig. 5 Three subanatomic fracture zones of proximal fifth metatarsal fractures. (A) Zone 1: Avulsion fracture. (B) Zone 2: Jones fracture. (C) Zone 3: Diaphyseal stress fracture. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions

7 Fig. 6 (A) A division I basketball player who underwent intermedullary screw fixation for acute Jones fracture using a 4.0 mm cannulated screw. Patient developed nonunion 8 months after returning to his sport. (B, C) With the development of nonunion, oblique and lateral views showed bent intermedullary screw. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions

8 Fig. 7 (A) Post-operative radiograph demonstrating revision surgery to the nonunion site with 6.5 mm solid screw with bone graft. (B) Post-operative lateral radiograph showing good alignment of the screw. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions

9 Fig. 8 (A) Prior to allowing the athlete to return to playing basketball, CT scan was ordered. CT scan confirmed complete fusion at the nonunion site. (B) Sagittal view of CT scan demonstrating complete union. Clinics in Podiatric Medicine and Surgery  , 69-86DOI: ( /j.cpm ) Copyright © Terms and Conditions


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