TY - JOUR T1 - Effective detection and management of low-velocity Lisfranc injuries in the emergency setting JF - Canadian Family Physician JO - Can Fam Physician SP - 1199 LP - 1204 VL - 58 IS - 11 AU - D. Joshua Mayich AU - Michael S. Mayich AU - Timothy R. Daniels Y1 - 2012/11/01 UR - http://www.cfp.ca/content/58/11/1199.abstract N2 - Objective To improve the ability of primary care physicians to recognize the mechanisms and common presentations of low-velocity Lisfranc injuries (LFIs) and to impart an improved understanding of the role of imaging and principles of primary care in low-velocity LFIs. Sources of information A MEDLINE literature review was performed and the results were summarized, reviewing anatomy and mechanisms, clinical and imaging-based diagnoses, and management principles in the primary care setting. Main message Low-velocity LFIs result from various mechanisms and can have very subtle findings on clinical examination and imaging. A high degree of suspicion and caution are warranted when managing this type of injury. Conclusion Although potentially devastating if missed, if a few treatment principles for low-velocity LFIs are applied from the initial presentation onward, outcomes from this injury can be optimized. ER -