Acta Chir Orthop Traumatol Cech. 2012; 79(1):21-30 | DOI: 10.55095/achot2012/003

Tarsometatarsal Joint Complex and Midtarsal InjuriesCurrent concepts review

M. H. ARASTU, R. E. BUCKLEY
Orthopaedics Surgery, Foothills Medical Center, Calgary, Alberta, Canada

In this article the following areas will be reviewed; the anatomy of the midfoot; mechanisms of injury and current classification systems; diagnosis; treatment options and the evidence for current practice; areas of treatment uncertainty and recommended guidelines for management.

Published: February 1, 2012  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
ARASTU MH, BUCKLEY RE. Tarsometatarsal Joint Complex and Midtarsal Injuries. Acta Chir Orthop Traumatol Cech. 2012;79(1):21-30. doi: 10.55095/achot2012/003. PubMed PMID: 22405545.
Download citation

References

  1. AITKEN, A. P., POULSON, D. O. N.: Dislocations of the tarsometatarsal joint. J. Bone Jt Surg., 45-A: 246-383, 1963. Go to original source...
  2. ALBERTA, F. G., ARONOW, M. S., BARRERO, M., DIAZ-DORAN, V., SULLIVAN, R. J., ADAMS, D. J.: Ligamentous Lisfranc joint injuries: a biomechanical comparison of dorsal plate and transarticular screw fixation. Foot Ankle Int., 26: 462-473, 2005. Go to original source... Go to PubMed...
  3. AO Trauma. Lisfranc joint injury. Comparison of open reduction and internal fixation with primary arthrodesis. Orthop. Trauma Direct., 9: 17-24, 2011. Go to original source...
  4. ARNTZ, C. T., HANSEN, S. T., Jr.: Dislocations and fracture dislocations of the tarsometatarsal joints. Orthop. Clin. North. Am., 18: 105-114, 1987. Go to original source...
  5. ARNTZ, C. T., VEITH, R. G., HANSEN, S. T., Jr.: Fractures and fracture-dislocations of the tarsometatarsal joint. J Bone Jt Surg., 70-A: 173-181, 1988. Go to original source...
  6. ASTION, D. J., DELAND, J. T., OTIS, J. C., KENNEALLY, S.: Motion of the hindfoot after simulated arthrodesis. J Bone Jt Surg., 79-A: 241-246, 1997. Go to original source... Go to PubMed...
  7. BRUNET, J. A., WILEY, J. J.: The late results of tarsometatarsal joint injuries. J Bone Jt Surg., 69-B: 437-440, 1987. Go to original source... Go to PubMed...
  8. CERONI, D., DE ROSA, V., DE COULON, G., KAELIN, A.: The importance of proper shoe gear and safety stirrups in the prevention of equestrian foot injuries. J. Foot Ankle Surg., 46: 32-39, 2007. Go to original source... Go to PubMed...
  9. CHIODO, C. P., MYERSON, M. S.: Developments and advances in the diagnosis and treatment of injuries to the tarsometatarsal joint. Orthop. Clin. North. Am., 32: 11-20, 2001. Go to original source... Go to PubMed...
  10. COSS, H. S., MANOS, R. E., BUONCRISTIANI, A., MILLS, W. J.: Abduction stress and AP weightbearing radiography of purely ligamentous injury in the tarsometatarsal joint. Foot Ankle Int.: 19: 537-541, 1998. Go to original source... Go to PubMed...
  11. CURTIS, M. J., MYERSON, M., SZURA, B.: Tarsometatarsal joint injuries in the athlete. Am. J. Sports Med.: 21: 497-502, 1993. Go to original source... Go to PubMed...
  12. DAVIS, W. H., SOBEL, M., DICARLO, E. F., TORZILLI, P. A., DENG, X., GEPPERT, M. J., et al.: Gross, histological, and microvascular anatomy and biomechanical testing of the spring ligament complex. Foot Ankle Int., 17: 95-102, 1996. Go to original source... Go to PubMed...
  13. DeLEE, J. C.: Fractures and dislocations of the foot. In: Mann, R. A., Coughlin, M. J., editor. Surgery of the Foot and Ankle. 6th ed. St Louis: Mosby-Year Book; p. 1465-1703, 1993.
  14. De PALMA, L., SANTUCCI, A., SABETTA, S. P., RAPALI, S.: Anatomy of the Lisfranc joint complex. Foot Ankle Int., 18: 356-364, 1997. Go to original source... Go to PubMed...
  15. EBRAHEIM, N. A., YANG, H., LU, J., BIYANI, A.: Computer evaluation of second tarsometatarsal joint dislocation. Foot Ankle Int., 17: 685-689, 1996. Go to original source... Go to PubMed...
  16. EICHENHOLTZ, S., NAL, D. B.: Fractures of the tarsal navicular bone. Clin. Orthop. 34: 142-157, 1964. Go to original source...
  17. ENGLANOFF, G., ANGLIN, D., HUTSON, H. R.: Lisfranc fracture-dislocation: a frequently missed diagnosis in the emergency department. Ann. Emerg. Med., 26: 229-233, 1995. Go to original source... Go to PubMed...
  18. FACISZEWSKI, T., BURKS, R. T., MANASTER, B. J.: Subtle injuries of the Lisfranc joint. J. Bone Jt Surg., 72-A: 1519-1522, 1990. Go to original source...
  19. GILBERT, B. J., HORST, F., NUNLEY, J. A.: Potential donor rotational bone grafts using vascular territories in the foot and ankle. J Bone Jt Surg., 86-A: 1857-1873, 2004. Go to original source... Go to PubMed...
  20. HARDCASTLE, P. H., RESCHAUER, R., KUTSCHA-LISSBERG, E., SCHOFFMANN, W.: Injuries to the tarsometatarsal joint. Incidence, classification and treatment. J. Bone Jt Surg., 64-B: 349-356, 1982. Go to original source... Go to PubMed...
  21. HENNING, J. A., JONES, C. B., SIETSEMA, D. L., BOHAY, D. R., ANDERSON, J. G.: Open reduction internal fixation versus primary arthrodesis for lisfranc injuries: a prospective randomized study. Foot Ankle Int., 30: 913-922, 2009. Go to original source... Go to PubMed...
  22. HERMEL, M. B., GERSHON-COHEN. J.: The nutcracker fracture of the cuboid by indirect violence. Radiology, 60: 850-854, 1953. Go to original source... Go to PubMed...
  23. KOMENDA, G. A., MYERSON, M. S., BIDDINGER, K. R.: Results of arthrodesis of the tarsometatarsal joints after traumatic injury. J Bone Jt Surg., 78-A: 1665-1676, 1996. Go to original source... Go to PubMed...
  24. KUO, R. S., TEJWANI, N. C., DIGIOVANNI, C. W., HOLT, S. K., BENIRSCHKE, S. K., HANSEN, S. T., Jr., et al.: Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Jt Surg., 82-A: 1609-1618, 2000. Go to original source... Go to PubMed...
  25. LEE, C. A., BIRKEDAL, J. P., DICKERSON, E. A., VIETA, P. A., Jr., WEBB, L. X., TEASDALL, R. D.: Stabilization of Lisfranc joint injuries: a biomechanical study. Foot Ankle Int., 25: 365-370, 2004. Go to original source... Go to PubMed...
  26. LU, J., EBRAHEIM, N. A., SKIE, M., PORSHINSKY, B., YEASTING, R. A.: Radiographic and computed tomographic evaluation of Lisfranc dislocation: a cadaver study. Foot Ankle Int., 18: 35135-5, 1997. Go to original source... Go to PubMed...
  27. LY, T. V., COETZEE, J. C.: Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study. J Bone Jt Surg., 88-A: 514-520, 2006. Go to original source...
  28. MEYER, S. A., CALLAGHAN, J. J., ALBRIGHT, J. P., CROWLEY, E. T., POWELL, J. W.: Midfoot sprains in collegiate football players. Am. J. Sports Med., 22: 392-401, 1994. Go to original source... Go to PubMed...
  29. MILLER, C. M., WINTER, W. G., BUCKNELL, A. L., JONASSEN, E. A.: Injuries to the midtarsal joint and lesser tarsal bones. J. Am. Acad. Orthop. Surg., 6: 249-258, 1998. Go to original source... Go to PubMed...
  30. MULIER, T., REYNDERS, P., DEREYMAEKER, G., BROOS, P.: Severe Lisfrancs injuries: primary arthrodesis or ORIF? Foot Ankle Int., 23: 902-905, 2002. Go to original source... Go to PubMed...
  31. MULIER, T., REYNDERS, P., SIOEN, W., VAN DEN BERGH, J., DE REYMAEKER, G., REYNAERT, P., et al.: The treatment of Lisfranc injuries. Acta Orthop., 63-B: 82-90, 1997.
  32. MYERSON, M.: The diagnosis and treatment of injuries to the Lisfranc joint complex. Orthop. Clin. North. Am.: 20: 655-64, 1989.
  33. MYERSON, M. S.: The diagnosis and treatment of injury to the tarsometatarsal joint complex. J. Bone Jt Surg., 81-B: 756-763, 1999. Go to original source...
  34. MYERSON, M. S., CERRATO, R. A.: Current management of tarsometatarsal injuries in the athlete. J. Bone Jt Surg., 90-A: 2522-2533, 2008.
  35. MYERSON, M. S., CERRATO, R.: Current management of tarsometatarsal injuries in the athlete. Instr. Course Lect., 58: 583-594, 2009.
  36. MYERSON, M. S., FISHER, R. T., BURGESS, A. R., KENZORA, J. E.: Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle, 6: 225-242, 1986. Go to original source... Go to PubMed...
  37. NUNLEY, J. A., VERTULLO, C. J.: Classification, investigation, and management of midfoot sprains: Lisfranc injuries in the athlete. Am. J. Sports Med., 30: 871-878, 2002. Go to original source... Go to PubMed...
  38. OUZOUNIAN, T. J., SHEREFF, M. J.: In vitro determination of midfoot motion. Foot Ankle, 10: 140-146, 1989. Go to original source... Go to PubMed...
  39. PREIDLER, K. W., BROSSMANN, J., DAENEN, B., GOODWIN, D., SCHWEITZER, M., RESNICK, D.: MR imaging of the tarsometatarsal joint: analysis of injuries in 11 patients. AJR Am. J. Roentgenol., 167: 1217-1222, 1996. Go to original source... Go to PubMed...
  40. PREIDLER, K. W., PEICHA, G., LAJTAI, G., SEIBERT, F. J., FOCK, C., SZOLAR, D. M., et al.: Conventional radiography, CT, and MR imaging in patients with hyperflexion injuries of the foot: diagnostic accuracy in the detection of bony and ligamentous changes. AJR Am. J. Roentgenol., 173: 1673-1677, 1999. Go to original source... Go to PubMed...
  41. QUÉNU, E., KÜSS, G. E.: Étude sur les luxations du métatarse (Luxations métatarso-tarsiennes). Du diastasis entre le 1er et le 2e métatarsien. Rev. Chir., 39: 1-72, 1909.
  42. RAIKIN, S. M., ELIAS, I., DHEER, S., BESSER. M. P., MORRISON, W. B., ZOGA, A. C.: Prediction of midfoot instability in the subtle Lisfranc injury. Comparison of magnetic resonance imaging with intraoperative findings. J. Bone Jt Surg., 91-A: 892-899, 2009. Go to original source... Go to PubMed...
  43. ROSS, G., CRONIN, R., HAUZENBLAS, J., JULIANO, P.: Plantar ecchymosis sign: a clinical aid to diagnosis of occult Lisfranc tarsometatarsal injuries. J. Orthop. Trauma, 10: 119-122, 1996. Go to original source... Go to PubMed...
  44. SAMMARCO, V. J.: The talonavicular and calcaneocuboid joints: anatomy, biomechanics, and clinical management of the transverse tarsal joint. Foot Ankle Clin. 9: 127-145, 2004. Go to original source... Go to PubMed...
  45. SANGEORZAN, B. J., BENIRSCHKE, S. K., MOSCA, V., MAYO, K. A., HANSEN, S. T., Jr.: Displaced intra-articular fractures of the tarsal navicular. J. Bone Jt Surg., 71-A: 1504-1510. 1989. Go to original source...
  46. SANGEORZAN, B. J., VEITH, R. G., HANSEN, S. T., Jr.: Salvage of Lisfranc's tarsometatarsal joint by arthrodesis. Foot Ankle, 10: 193-200, 1990. Go to original source... Go to PubMed...
  47. SHAPIRO, M. S., WASCHER, D. C., FINERMAN, G. A.: Rupture of Lisfranc's ligament in athletes. Am. J. Sports Med. 22: 687-691, 1994. Go to original source... Go to PubMed...
  48. SOLAN, M. C., MOORMAN, C. T., 3rd, MIYAMOTO, R. G., JASPER, L. E., BELKOFF, S. M.: Ligamentous restraints of the second tarsometatarsal joint: a biomechanical evaluation. Foot Ankle Int., 22: 637-641, 2001. Go to original source... Go to PubMed...
  49. STEIN, R. E.: Radiological aspects of the tarsometatarsal joints. Foot Ankle, 3: 286-289, 1983. Go to original source... Go to PubMed...
  50. THORDARSON, D. B., HURVITZ, G.: PLA screw fixation of Lisfranc injuries. Foot Ankle Int., 23: 1003-1007, 2002. Go to original source... Go to PubMed...
  51. TORG, J. S., PAVLOV, H., COOLEY, L. H., BRYANT, M. H., ARNOCZKY, S. P., BERGFELD, J., et al.: Stress fractures of the tarsal navicular. A retrospective review of twenty-one cases. J. Bone Jt Surg., 64-A: 700-712, 1982. Go to original source...
  52. TREVINO, S. G., KODROS, S.: Controversies in tarsometatarsal injuries. Orthop. Clin. North. Am., 26: 229-238, 1995. Go to original source...
  53. VAN DORP, K. B., DE VRIES, M. R., VAN DER ELST, M., SCHEPERS, T.: Chopart joint injury: a study of outcome and morbidity. J. Foot Ankle Surg., 49: 541-545, 2010. Go to original source... Go to PubMed...
  54. VAN RAAIJ, T. M., DUFFY, P. J., BUCKLEY, R. E.: Displaced isolated cuboid fractures: results of four cases with operative treatment. Foot Ankle Int., 31: 242-246, 2010. Go to original source... Go to PubMed...
  55. WAUGH W.: The ossification and vascularisation of the tarsal navicular and their relation to Kohler's disease. J Bone Joint Surg Br. 40-B: 765-77, 1958. Go to original source... Go to PubMed...
  56. WEBER, M., LOCHER, S.: Reconstruction of the cuboid in compression fractures: short to midterm results in 12 patients. Foot Ankle Int., 23: 1008-1013, 2002. Go to original source... Go to PubMed...
  57. WILSON, L. S., Jr., MIZEL, M. S., MICHELSON, J. D.: Foot and ankle injuries in motor vehicle accidents. Foot Ankle Int., 22: 649-652, 2001. Go to original source... Go to PubMed...