Fractures and dislocations of the ankle and foot: The Daily PANCE Blueprint

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Fractures and dislocations of the ankle and foot: The Daily PANCE Blueprint

Which of the following is the preferred treatment for a displaced Lisfranc injury with evidence of instability?

A. Reassurance and follow-up
B. Cast immobilization
C. Open reduction and rigid internal fixation
D Rest, ice, compression, elevation
E. None of the above

Answer and topic summary

The answer is C. Open reduction and rigid internal fixation

A Lisfranc injury is a tarsometatarsal fracture-dislocation defined by disruption between the base of the 2nd metatarsal and articulation of the medial cuneiform. MOI is usually MVAs, falls, and athletic injuries. Clinical features include severe mid-foot pain, inability to bear the weight of the impacted foot, ecchymosis, swelling, and tenderness. Diagnosis is made with an x-ray. Treatment is usually either ORIF or arthrodesis.

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Covered under ⇒ PANCE Blueprint Musculoskeletal ⇒ Disorders of the Ankle and Foot => Fractures and dislocations of the ankle and foot