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Treatment of a Lisfranc Injury in a 7-Year-Old Boy: Case Report and Surgical Technique.

MedStar author(s):

Citation: Jbjs Case Connector. 12(4), 2022 10 01.PMID: 36282903Department: MedStar Georgetown University Hospital/MedStar Washington Hospital Center | Orthopaedic Surgery ResidencyForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *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] | MaleYear: 2022 ISSN:

2160-3251

Name of journal: JBJS case connectorAbstract: 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.All authors: Howard JJ, Kraft DBFiscal year: FY2023 Digital Object Identifier:

https://dx.doi.org/10.2106/JBJS.CC.22.00305

ORCID:

https://orcid.org/0000-0003-1745-997

Date added to catalog: 2022-12-13

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	36282903	Available		36282903

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.

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