Treatment of a Lisfranc Injury in a 7-Year-Old Boy: Case Report and Surgical Technique.
Treatment of a Lisfranc Injury in a 7-Year-Old Boy: Case Report and Surgical Technique.
- 2022
CASE: This is a case of a 7-year-old boy with a Lisfranc injury identified on weight-bearing films who was treated successfully with closed reduction with a clamp and smooth pin fixation. This patient returned to sports without pain or radiographic signs of arthritis at 1 year. CONCLUSION: Lisfranc fractures and ligamentous injuries are rare and can occur in skeletally immature children. They have high potential for long-term disability if not properly diagnosed and treated. Although there is no consensus on optimal management of pediatric Lisfranc injuries, restoration of an anatomic Lisfranc joint with smooth pins and immobilization for 6 weeks is a viable treatment option. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.
English
2160-3251
01709767-202212000-00014 [pii] 10.2106/JBJS.CC.22.00305 [doi]
*Fractures, Bone
*Joint Dislocations
Arthrodesis/mt [Methods]
Child
Fracture Fixation, Internal/mt [Methods]
Fractures, Bone/dg [Diagnostic Imaging]
Fractures, Bone/su [Surgery]
Humans
Joint Dislocations/su [Surgery]
Male
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Orthopaedic Surgery Residency
Case Reports
Journal Article
CASE: This is a case of a 7-year-old boy with a Lisfranc injury identified on weight-bearing films who was treated successfully with closed reduction with a clamp and smooth pin fixation. This patient returned to sports without pain or radiographic signs of arthritis at 1 year. CONCLUSION: Lisfranc fractures and ligamentous injuries are rare and can occur in skeletally immature children. They have high potential for long-term disability if not properly diagnosed and treated. Although there is no consensus on optimal management of pediatric Lisfranc injuries, restoration of an anatomic Lisfranc joint with smooth pins and immobilization for 6 weeks is a viable treatment option. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.
English
2160-3251
01709767-202212000-00014 [pii] 10.2106/JBJS.CC.22.00305 [doi]
*Fractures, Bone
*Joint Dislocations
Arthrodesis/mt [Methods]
Child
Fracture Fixation, Internal/mt [Methods]
Fractures, Bone/dg [Diagnostic Imaging]
Fractures, Bone/su [Surgery]
Humans
Joint Dislocations/su [Surgery]
Male
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Orthopaedic Surgery Residency
Case Reports
Journal Article