RT Journal Article
SR Electronic
T1 Effective detection and management of low-velocity Lisfranc injuries in the emergency setting
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 1199
OP 1204
VO 58
IS 11
A1 D. Joshua Mayich
A1 Michael S. Mayich
A1 Timothy R. Daniels
YR 2012
UL http://www.cfp.ca/content/58/11/1199.abstract
AB 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.