TY - CHAP M1 - Book, Section TI - Lisfranc Fracture-Dislocation A1 - Breed, Meghan A1 - Fitch, Robert Warne A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason Y1 - 2021 N1 - T2 - The Atlas of Emergency Medicine, 5e AB - The Lisfranc joint (tarsometatarsal joint) connects the midfoot and forefoot. It is defined by the articulation of the bases of the 1st three metatarsals with the cuneiforms and the 4th and 5th metatarsals with the cuboid. The Lisfranc ligament anchors the second metatarsal base to the medial cuneiform. Disruption of the Lisfranc joint is typically associated with high-energy mechanisms; however, they may occur with less force. Clinical presentation is variable, but severe midfoot pain and the inability to bear weight are usually present. Radiographs may reveal displacement of the metatarsals in one direction (homolateral) or a split, usually between the 1st and 2nd metatarsals (divergent). SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/24 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181042235 ER -