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How to Identify Unstable Lisfranc Injuries? Review of Diagnostic Strategies and Algorithm Proposal.

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"Misdiagnosed Lisfranc injuries can be as high as 50%, leading to chronic pain, functional impairment, and posttraumatic arthritis. Subtle or incomplete lesions are the most problematic group for an adequate… Click to show full abstract

"Misdiagnosed Lisfranc injuries can be as high as 50%, leading to chronic pain, functional impairment, and posttraumatic arthritis. Subtle or incomplete lesions are the most problematic group for an adequate diagnosis. Conventional non-weight-bearing radiographs can overlook up to 30% of unstable cases. Abduction stress radiographs and anteroposterior monopodial comparative weight-bearing radiographic views are very useful to identify instability. Computed tomography gives detailed information about fracture patterns and comminution. MRI can predict instability but it is expensive and not readily available in the acute setting."

Keywords: identify unstable; review diagnostic; injuries review; lisfranc; lisfranc injuries; unstable lisfranc

Journal Title: Foot and ankle clinics
Year Published: 2020

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