Joint disruptions to the tarsometatarsal (TMT) joint complex, also known as the Lisfranc joint, represent a broad spectrum of pathology from subtle athletic sprains to severe crush injuries. Although injuries to the TMT joint complex are uncommon, when missed, they may lead to pain and dysfunction secondary to posttraumatic arthritis and arch collapse. An understanding of the appropriate anatomy, mechanism, physical examination, and imaging techniques is necessary to diagnose and treat injuries of the TMT joints. Nonsurgical management is indicated in select patients who maintain reduction of the TMT joints under physiologic stress. Successful surgical management of these injuries is predicated on anatomic reduction and stable fixation. Open reduction and internal fixation remains the standard treatment, although primary arthrodesis has emerged as a viable option for certain types of TMT joint injuries.
From the Illinois Bone and Joint Institute, Glenview, IL (Dr. Weatherford) and Orthopaedic Associates of Michigan, Grand Rapids, MI (Dr. Anderson and Dr. Bohay).
Dr. Weatherford or an immediate family member serves as a paid consultant to Orthobullets and BESPA Consulting. Dr. Anderson or an immediate family member has received royalties from and is a member of a speakers’ bureau or has made paid presentations on behalf of Stryker; serves as a paid consultant to Zimmer Biomet and Stryker; has stock or stock options held in Pfizer; has received research or institutional support from Stryker; and serves as a board member, owner, officer, or committee member of the American Orthopaedic Foot and Ankle Society. Dr. Bohay or an immediate family member has received royalties from Stryker; is a member of a speakers’ bureau or has made paid presentations on behalf of BESPA Consulting, Zimmer Biomet, and OsteoMed; serves as a paid consultant to BESPA Consulting, Zimmer Biomet, OsteoMed, and Stryker; and has received research or institutional support from the Research and Education Institute at Orthopaedic Associates of Michigan.
Received October 01, 2015
Accepted June 07, 2016
