{"id":4667,"date":"2023-01-25T16:55:38","date_gmt":"2023-01-25T16:55:38","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/current-management-of-lisfranc-injuries-fr\/"},"modified":"2023-01-25T19:45:01","modified_gmt":"2023-01-25T19:45:01","slug":"current-management-of-lisfranc-injuries-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/current-management-of-lisfranc-injuries-fr\/","title":{"rendered":"Traitement actuel des l\u00e9sions du Lisfranc"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Ewa_Jaraczewska\" title=\"User:Ewa Jaraczewska\">Ewa Jaraczewska<\/a> d&rsquo;apr\u00e8s le cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/helene-simpson\/\">Helene Simpson<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a> et <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Definition_and_Epidemiology\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">D\u00e9finition et \u00e9pid\u00e9miologie<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Risk_Factors\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">Facteurs de risque<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomie cliniquement pertinente<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Mechanism_of_Injury_.2F_Pathological_Process\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">M\u00e9canisme de la l\u00e9sion \/ Processus pathologique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Diagnosis\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Diagnostic<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Assessment\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">\u00c9valuation<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Proc\u00e9dures diagnostiques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Recommendations_for_Intervention.5B11.5D\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Recommandations d&rsquo;intervention <sup>(11)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Management_.2F_Intervention\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Traitement \/ Interventions<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Conservative_Management.5B7.5D\"><span class=\"tocnumber\">6.1<\/span> <span class=\"toctext\">Traitement conservateur <sup>(7)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Surgical_Management\"><span class=\"tocnumber\">6.2<\/span> <span class=\"toctext\">Traitement chirurgical<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Resources\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Definition_and_Epidemiology\">D\u00e9finition et \u00e9pid\u00e9miologie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Definition and Epidemiology\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=1\" title=\"Edit section: Definition and Epidemiology\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;<a href=\"\/Lisfranc_Injuries\" title=\"Lisfranc Injuries\">articulation de Lisfranc<\/a> est l&rsquo;endroit o\u00f9 les os du tarse se connectent aux os du m\u00e9tatarse &#8211; c&rsquo;est-\u00e0-dire l&rsquo;articulation tarso-m\u00e9tatarsienne (ATM). Une \u00ab\u00a0l\u00e9sion du Lisfranc\u00a0\u00bb a \u00e9t\u00e9 d\u00e9crite pour la premi\u00e8re fois en 1815 par le chirurgien et gyn\u00e9cologue fran\u00e7ais Jacques Lisfranc de Saint-Martin (1787-1847). Il s&rsquo;agit d&rsquo;une affection dans laquelle un ou plusieurs des os m\u00e9tatarsiens sont d\u00e9plac\u00e9s.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<p>Selon Ponkilainen et al, <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> l&rsquo;\u00e9pid\u00e9miologie des blessures du m\u00e9dio-pied, y compris les blessures de Lisfranc, n&rsquo;est pas bien connue. Une \u00e9tude men\u00e9e sur cinq ans a r\u00e9v\u00e9l\u00e9 que, parmi tous les traumatismes du m\u00e9dio-pied, une l\u00e9sion du Lisfranc se produisait dans 18,2 % des cas. Une enqu\u00eate de Desmond et Chou <sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> a confirm\u00e9 ce type de l\u00e9sion dans moins de 2% de toutes les fractures. Cependant, les statistiques sugg\u00e8rent que le diagnostic n&rsquo;est pas toujours ad\u00e9quat. Un diagnostic tardif ou manqu\u00e9 survient dans 20 % des cas. <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> Il a \u00e9t\u00e9 constat\u00e9 que :<\/p>\n<ul>\n<li>Les l\u00e9sions du Lisfranc sont plus fr\u00e9quentes chez les hommes, et le ratio rapport\u00e9 est de 4,25:1<sup id=\"cite_ref-:1_5-0\" class=\"reference\"><a href=\"#cite_note-:1-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>La cause la plus fr\u00e9quente des l\u00e9sions traumatiques est le traumatisme \u00e0 faible \u00e9nergie <sup id=\"cite_ref-:8_6-0\" class=\"reference\"><a href=\"#cite_note-:8-6\">(6)<\/a><\/sup> (par exemple, une chute sur un pied en flexion plantaire) <sup id=\"cite_ref-:7_7-0\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Le traumatisme \u00e0 haute \u00e9nergie le plus fr\u00e9quent est l&rsquo;accident de voiture, suivi par l&rsquo;accident de moto<sup id=\"cite_ref-:1_5-1\" class=\"reference\"><a href=\"#cite_note-:1-5\">(5)<\/a><\/sup><\/li>\n<li>Les fractures les plus courantes concernent les deuxi\u00e8me et cinqui\u00e8me os m\u00e9tatarsiens, <sup id=\"cite_ref-:2_8-0\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup> suivis par celle de l&rsquo;os cubo\u00efde <sup id=\"cite_ref-:1_5-2\" class=\"reference\"><a href=\"#cite_note-:1-5\">(5)<\/a><\/sup><\/li>\n<li>Les <a href=\"\/Metatarsal_Fractures\" title=\"Metatarsal Fractures\">fractures multiples du m\u00e9tatarse<\/a> ne sont pas rares. Dans ces cas, les fractures du troisi\u00e8me m\u00e9tatarsien sont associ\u00e9es \u00e0 une fracture du deuxi\u00e8me ou du quatri\u00e8me m\u00e9tatarsien<sup id=\"cite_ref-:2_8-1\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/li>\n<li>Les l\u00e9sions du Lisfranc sont plus fr\u00e9quentes chez les athl\u00e8tes<sup id=\"cite_ref-:3_9-0\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Risk_Factors\">Facteurs de risque <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Risk Factors\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=2\" title=\"Edit section: Risk Factors\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les \u00e9l\u00e9ments suivants peuvent augmenter le risque d&rsquo;une l\u00e9sion instable : <sup id=\"cite_ref-:8_6-1\" class=\"reference\"><a href=\"#cite_note-:8-6\">(6)<\/a><\/sup><\/p>\n<ul>\n<li>Fractures intra-articulaires des deux articulations tarso-m\u00e9tatarsiennes lat\u00e9rales<\/li>\n<li>Sexe f\u00e9minin<\/li>\n<li>Une hauteur plus courte de la deuxi\u00e8me articulation tarso-m\u00e9tatarsienne<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Clinically_Relevant_Anatomy\">Anatomie cliniquement pertinente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=3\" title=\"Edit section: Clinically Relevant Anatomy\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les l\u00e9sions du Lisfranc impliquent un traumatisme de l&rsquo;articulation tarso-m\u00e9tatarsienne (ATM). Les descriptions de cette blessure varient consid\u00e9rablement, tout comme la documentation de l&rsquo;anatomie de l&rsquo;articulation de Lisfranc.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<p>Le complexe articulaire de Lisfranc comprend les os du premier au cinqui\u00e8me <a href=\"\/Metatarsals\" title=\"Metatarsals\">m\u00e9tatarsien<\/a>, les trois <a href=\"\/Cuneiforms\" title=\"Cuneiforms\">os cun\u00e9iformes<\/a>, le <a href=\"\/Cuboid\" title=\"Cuboid\">cubo\u00efde<\/a>, les ligaments d&rsquo;interconnexion, les capsules et les tendons de renforcement. Le r\u00f4le principal de cette articulation est d&rsquo;assurer la stabilit\u00e9 du m\u00e9dio-pied. <sup id=\"cite_ref-:4_11-0\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup> Les bases m\u00e9tatarsiennes cr\u00e9ent une structure en arc, dont le deuxi\u00e8me os m\u00e9tatarsien est le point central (c&rsquo;est-\u00e0-dire la pierre angulaire). <sup id=\"cite_ref-:4_11-1\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup> Il s&rsquo;articule avec le deuxi\u00e8me os cun\u00e9iforme et est assis entre le premier et le troisi\u00e8me cun\u00e9iforme. Les ligaments suivants de l&rsquo;articulation tarso-m\u00e9tatarsienne contribuent \u00e0 la solidit\u00e9 de l&rsquo;articulation : <sup id=\"cite_ref-:4_11-2\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/p>\n<ul>\n<li>Ligaments dorsaux (sens longitudinal)<\/li>\n<li>Ligaments interosseux (direction transversale)<\/li>\n<li>Ligaments plantaires (direction oblique)<\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:102px;\"><a href=\"\/File:Lisfranc_joint.gif\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/a\/ae\/Lisfranc_joint.gif\" decoding=\"async\" width=\"100\" height=\"234\" class=\"thumbimage\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Lisfranc_joint.gif\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Les trois colonnes du pied<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Il existe trois syst\u00e8mes d&rsquo;articulation synoviale tarso-m\u00e9tatarsienne qui se rapportent aux trois colonnes du pied : <sup id=\"cite_ref-:4_11-3\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/p>\n<ol>\n<li>Colonne m\u00e9diale (du premier os cun\u00e9iforme au premier os m\u00e9tatarsien)<\/li>\n<li>Colonne du milieu (du deuxi\u00e8me cun\u00e9iforme au deuxi\u00e8me m\u00e9tatarsien et du troisi\u00e8me cun\u00e9iforme au troisi\u00e8me m\u00e9tatarsien)<\/li>\n<li>Colonne lat\u00e9rale (de l&rsquo;os cubo\u00efde aux quatri\u00e8me et cinqui\u00e8me os m\u00e9tatarsiens)<\/li>\n<\/ol>\n<p>Vous trouverez <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Bones_and_Ligaments\" title=\"Anatomie de base du pied et de la cheville - Os et ligaments\">ici<\/a> des informations sur les os et les ligaments du pied.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:202px;\"><a href=\"\/File:Mechanism_of_injury_Lisfranc.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e8\/Mechanism_of_injury_Lisfranc.jpeg\/200px-Mechanism_of_injury_Lisfranc.jpeg\" decoding=\"async\" width=\"200\" height=\"353\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e8\/Mechanism_of_injury_Lisfranc.jpeg\/300px-Mechanism_of_injury_Lisfranc.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e8\/Mechanism_of_injury_Lisfranc.jpeg\/399px-Mechanism_of_injury_Lisfranc.jpeg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Mechanism_of_injury_Lisfranc.jpeg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>M\u00e9canisme de l\u00e9sion indirecte dans les fractures-luxations de l&rsquo;articulation de Lisfranc.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Mechanism_of_Injury_\/_Pathological_Process\"><\/span><span class=\"mw-headline\" id=\"Mechanism_of_Injury_.2F_Pathological_Process\">M\u00e9canisme de la l\u00e9sion \/ Processus pathologique<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Mechanism of Injury \/ Pathological Process\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=4\" title=\"Edit section: Mechanism of Injury \/ Pathological Process\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les l\u00e9sions du Lisfranc peuvent \u00eatre caus\u00e9es par les m\u00e9canismes suivants :<\/p>\n<ol>\n<li><b>Direct, \u00e0 haut niveau d&rsquo;\u00e9nergie <\/b>: l\u00e9sion par \u00e9crasement de la r\u00e9gion articulaire, accident du travail (un poids lourd atterrit sur le pied lorsque l\u00e2ch\u00e9 d&rsquo;une certaine hauteur), chute d&rsquo;une certaine hauteur, accident de voiture. <sup id=\"cite_ref-:3_9-1\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/li>\n<li><b>Indirect, \u00e0 faible niveau d&rsquo;\u00e9nergie <\/b>: blessure sportive qui \u00a0\u00bb implique g\u00e9n\u00e9ralement une force longitudinale alors que le pied est en flexion plantaire avec une force de rotation m\u00e9diale ou lat\u00e9rale \u00ab\u00a0, <sup id=\"cite_ref-:3_9-2\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup> le fait de sauter d&rsquo;un trottoir avec le pied en flexion plantaire forc\u00e9e, <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> chute au sol.<\/li>\n<\/ol>\n<p>La classification des l\u00e9sions du Lisfranc comprend les types de l\u00e9sions suivants : <sup id=\"cite_ref-:0_13-0\" class=\"reference\"><a href=\"#cite_note-:0-13\">(13)<\/a><\/sup><\/p>\n<ul>\n<li>Luxation traditionnelle (d\u00e9chirure du premier et du deuxi\u00e8me ligament tarso-m\u00e9tatarsien)<\/li>\n<li>Luxation de la colonne m\u00e9diale (d\u00e9chirure du deuxi\u00e8me tarso-m\u00e9tatarsien et du ligament cun\u00e9iforme m\u00e9dial-moyen)<\/li>\n<li>Luxation en extension proximale (d\u00e9chirure du premier et deuxi\u00e8me ligament tarso-m\u00e9tatarsien et d\u00e9chirure du ligament cun\u00e9iforme m\u00e9dial-moyen)<\/li>\n<\/ul>\n<p>Les blessures \u00e0 faible \u00e9nergie incluent les l\u00e9sions partielles (entorses). Dans ce type de blessure, les ligaments plantaires tarso-m\u00e9tatarsiens restent intacts, et la l\u00e9sion est stable.<sup id=\"cite_ref-:6_14-0\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Diagnosis\">Le diagnostic<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnosis\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=5\" title=\"Edit section: Diagnosis\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Assessment\">\u00c9valuation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Assessment\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=6\" title=\"Edit section: Assessment\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Chaque \u00e9valuation doit inclure les \u00e9l\u00e9ments suivants : <sup id=\"cite_ref-:6_14-1\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li>Un entretien avec anamn\u00e8se et ant\u00e9c\u00e9dents m\u00e9dicaux\n<ul>\n<li>Le m\u00e9canisme exact de la blessure, y compris la position du pied, la direction de la force et l&rsquo;importance de l&rsquo;\u00e9nergie impliqu\u00e9e<\/li>\n<li>La localisation de la douleur et des structures potentiellement impliqu\u00e9es<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>La palpation du m\u00e9dio-pied<\/li>\n<\/ul>\n<ul>\n<li>L&rsquo;inspection des tissus mous<\/li>\n<li>La recherche d&rsquo;ecchymoses plantaires au niveau du m\u00e9dio-pied<\/li>\n<li>Des man\u0153uvres provocatrices pour \u00e9valuer l&rsquo;instabilit\u00e9 : compression du m\u00e9dio-pied, pronation, supination, abduction, adduction, mise en charge unilat\u00e9rale<\/li>\n<li>L&rsquo;amplitude passive des mouvements dans les plans sagittal et coronal des trois colonnes du pied<\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Clinical_Presentation\">Pr\u00e9sentation clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=7\" title=\"Edit section: Clinical Presentation\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Douleur diffuse au milieu du pied, qui dure g\u00e9n\u00e9ralement quelques jours. La douleur se situe au niveau du troisi\u00e8me orteil lorsqu&rsquo;une pression est exerc\u00e9e au niveau du milieu du pied <sup id=\"cite_ref-:7_7-1\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Sensibilit\u00e9 \u00e0 la palpation du m\u00e9dio-pied <sup id=\"cite_ref-:6_14-2\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Reproduction de la douleur avec un mouvement passif de l&rsquo;avant-pied <sup id=\"cite_ref-:6_14-3\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Incapacit\u00e9 de mise en charge <sup id=\"cite_ref-:6_14-4\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup> ou difficult\u00e9s \u00e0 la mise en charge<\/li>\n<li>D\u00e9veloppement de strat\u00e9gies compensatoires pour \u00e9viter la douleur et les restraindre la mobilit\u00e9, y compris le port de chaussures rigides en cuir ou de bottes <sup id=\"cite_ref-:7_7-2\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>\u0152d\u00e8me \u00e0 godet <sup id=\"cite_ref-:7_7-3\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Aplatissement de l&rsquo;<a href=\"\/Arches_of_the_Foot\" title=\"Arches of the Foot\">arche transversale <\/a><sup id=\"cite_ref-:7_7-4\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Ecchymose plantaire au niveau du m\u00e9dio-pied due \u00e0 une rupture ligamentaire <sup id=\"cite_ref-:6_14-5\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1e\/Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg\/300px-Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg\" decoding=\"async\" width=\"300\" height=\"346\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1e\/Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg\/450px-Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1e\/Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg\/600px-Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Lisfranc_Dislocation_Rupture_-_Wikimedia_Commons.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Dislocation\/rupture du Lisfranc<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span class=\"mw-headline\" id=\"Diagnostic_Procedures\">Proc\u00e9dures diagnostiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Procedures\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=8\" title=\"Edit section: Diagnostic Procedures\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>La radiographie pour \u00e9valuer la diastase au niveau des articulations dde la TMT inclut : <sup id=\"cite_ref-:4_11-4\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup>\n<ul>\n<li>Films standard \u00e0 trois vues du pied : ant\u00e9ropost\u00e9rieure, oblique interne \u00e0 30 degr\u00e9s et lat\u00e9rale<\/li>\n<li>Le patient doit \u00eatre debout pour toutes les radiographies, avec mise en charge<\/li>\n<li>Une radiographie des deux pieds doit \u00eatre effectu\u00e9e \u00e0 des fins de comparaison<\/li>\n<li>Les images radiographiques r\u00e9alis\u00e9es en position non portante ont tendance \u00e0 manquer les l\u00e9sions de Lisfranc dans 20 \u00e0 50 % des cas<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Selon Yan et al, <sup id=\"cite_ref-:4_11-5\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup> la pr\u00e9cision diagnostique des radiographies est faible. Si les sympt\u00f4mes cliniques persistent, mais que la radiographie est n\u00e9gative, le patient doit \u00eatre orient\u00e9 vers une tomodensitom\u00e9trie (CT scan) ou une imagerie par r\u00e9sonance magn\u00e9tique (IRM).<sup id=\"cite_ref-:4_11-6\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/p>\n<ul>\n<li>Tomodensitom\u00e9trie (CT scan) pour d\u00e9tecter les fractures non d\u00e9plac\u00e9es et les subluxations osseuses minimes<sup id=\"cite_ref-:5_15-0\" class=\"reference\"><a href=\"#cite_note-:5-15\">(15)<\/a><\/sup><\/li>\n<li>Imagerie par r\u00e9sonance magn\u00e9tique (IRM) pour \u00e9valuer les anomalies ligamentaires<sup id=\"cite_ref-:5_15-1\" class=\"reference\"><a href=\"#cite_note-:5-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Recommendations_for_Intervention(11)\"><\/span><span class=\"mw-headline\" id=\"Recommendations_for_Intervention.5B11.5D\">Recommandations d&rsquo;intervention <sup id=\"cite_ref-:4_11-7\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Recommendations for Intervention(11)\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=9\" title=\"Edit section: Recommendations for Intervention(11)\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Traitement conservateur pour :\n<ul>\n<li>L\u00e9sions de Lisfranc sans preuve d&rsquo;instabilit\u00e9 (&lt;2 mm de diastase)<\/li>\n<li>Fractures extra-articulaires dont la stabilit\u00e9 est confirm\u00e9e en mise en charge <sup id=\"cite_ref-:6_14-6\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Traitement chirurgical :\n<ul>\n<li>Tous les types de blessures non r\u00e9pertori\u00e9s ci-dessus comme pouvant \u00eatre consid\u00e9r\u00e9s pour un traitement chirurgical\n<ul>\n<li>Il n&rsquo;existe pas de traitement chirurgical optimal<\/li>\n<li>Il existe \u00e9galement un manque de preuves concr\u00e8tes \u00e0 l&rsquo;appui d&rsquo;une modalit\u00e9 de traitement particuli\u00e8re<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span id=\"Management_\/_Intervention\"><\/span><span class=\"mw-headline\" id=\"Management_.2F_Intervention\">Traitement et interventions <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Management \/ Intervention\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=10\" title=\"Edit section: Management \/ Intervention\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Conservative_Management(7)\"><\/span><span class=\"mw-headline\" id=\"Conservative_Management.5B7.5D\">Traitement conservateur <sup id=\"cite_ref-:7_7-5\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Conservative Management(7)\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=11\" title=\"Edit section: Conservative Management(7)\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Intrinsics_with_resistance.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Intrinsics_with_resistance.png\/300px-Intrinsics_with_resistance.png\" decoding=\"async\" width=\"300\" height=\"149\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Intrinsics_with_resistance.png\/450px-Intrinsics_with_resistance.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Intrinsics_with_resistance.png\/600px-Intrinsics_with_resistance.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Intrinsics_with_resistance.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Renforcement de la musculature intrins\u00e8que avec r\u00e9sistance<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Gestion de la douleur<\/p>\n<ul>\n<li>Soutien de l&rsquo;<a href=\"\/Arches_of_the_Foot\" title=\"Arches of the Foot\">arche plantaire m\u00e9diale.<\/a> Le type de soutien d\u00e9pend du degr\u00e9 de la blessure et peut inclure le port d&rsquo;une botte, de chaussures de soutien ou d&rsquo;une orth\u00e8se personnalis\u00e9e<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Immobilisation : immobilisation dans un pl\u00e2tre ou une botte pendant 6 \u00e0 10 semaines pour d\u00e9charger le pied<\/li>\n<li>Limiter les activit\u00e9s de mise en charge : ne pas pousser la mise en charge compl\u00e8te<\/li>\n<li>Soutien de l&rsquo;arche plantaire : penser au soutien de l&rsquo;arche plantaire dans la botte et le pl\u00e2tre<\/li>\n<li>Programme de renforcement pour :\n<ul>\n<li>La musculature intrins\u00e8que du pied afin d&rsquo;am\u00e9liorer le soutien dynamique du pied<\/li>\n<li>Les fl\u00e9chisseurs des orteils pour aider \u00e0 la pouss\u00e9e des orteils \u00e0 la marche<\/li>\n<li><a href=\"\/Tibialis_posterior_rupture\" title=\"Tibialis posterior rupture\">Le tibial post\u00e9rieur<\/a><\/li>\n<li>Renforcement isom\u00e9trique du <a href=\"\/Peroneus_longus_and_brevis_tests\" title=\"Peroneus longus and brevis tests\">long p\u00e9ronier<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Taping de l&rsquo;arche m\u00e9tatarsienne afin d&rsquo;am\u00e9liorer la stabilit\u00e9<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/7QM41olCNS4?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<ul>\n<li>Mise en forme cardiovasculaire<\/li>\n<li><a href=\"\/Core_Stability\" title=\"Core Stability\">Renforcement des stabilisateurs<\/a><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Surgical_Management\">Traitement chirurgical <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical Management\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=12\" title=\"Edit section: Surgical Management\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Lorsque la blessure est instable, un traitement chirurgical des ligaments, de l&rsquo;os ou d&rsquo;une combinaison des deux est indiqu\u00e9e : <sup id=\"cite_ref-:6_14-7\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/p>\n<ol>\n<li>R\u00e9duction et immobilisation de toute luxation &#8211; produisant une tension dans la peau et les tissus mous<sup id=\"cite_ref-:6_14-8\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Fixation externe temporaire pour les blessures \u00e0 haute \u00e9nergie, indiqu\u00e9e lorsque l&rsquo;attelle ne suffit pas \u00e0 maintenir l&rsquo;alignement<sup id=\"cite_ref-:6_14-9\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>L&rsquo;oed\u00e8me au niveau des tissus doit \u00eatre r\u00e9solu avant que la chirurgie d\u00e9finitive ne soit pr\u00e9vue (10 \u00e0 14 jours apr\u00e8s la blessure). <sup id=\"cite_ref-:6_14-10\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup> La r\u00e8gle g\u00e9n\u00e9rale pour le choix du moment de l&rsquo;intervention est la suivante : \u00ab\u00a0le plus t\u00f4t est le mieux, tant que l&rsquo;oed\u00e8me est g\u00e9rable\u00a0\u00bb <sup id=\"cite_ref-:4_11-8\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/li>\n<li>R\u00e9duction ouverte et fixation interne avec fixation par vis transarticulaire<sup id=\"cite_ref-:6_14-11\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>R\u00e9duction ouverte et fixation interne avec arthrod\u00e8se primaire lorsqu&rsquo;un mod\u00e8le ligamentaire pur est pr\u00e9sent<sup id=\"cite_ref-:6_14-12\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<\/ol>\n<blockquote><p>Une bonne r\u00e9duction anatomique lors de l&rsquo;op\u00e9ration am\u00e9liore consid\u00e9rablement le r\u00e9sultat. <sup id=\"cite_ref-:7_7-6\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup> <i>Helene Simpson<\/i><\/p><\/blockquote>\n<h2><span class=\"mw-headline\" id=\"Resources\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=13\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ol>\n<li>Paek S, Mo M, Hogue G. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/epub\/10.1177\/18632521221092957\">Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm<\/a>. Journal of Children&rsquo;s Orthopaedics. 2022 May 10:18632521221092957.<\/li>\n<li>van den Boom NA, Stollenwerck GA, Lodewijks L, Bransen J, Evers SM, Poeze M. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/online.boneandjoint.org.uk\/doi\/epub\/10.1302\/2633-1462.210.BJO-2021-0127.R1\">Lisfranc injuries: fix or fuse? a systematic review and meta-analysis of current literature presenting outcomes after surgical treatment for Lisfranc injuries.<\/a> Bone &amp; Joint Open. 2021 Oct 8;2(10):842-9.<\/li>\n<li>Lakey E, Hunt KJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/epub\/10.1177\/2473011419852930\">Patient-Reported Outcomes in Foot and Ankle Orthopedics<\/a>. Foot Ankle Orthop. 2019 Jul 19;4(3):2473011419852930.<\/li>\n<\/ol>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Current_Management_of_Lisfranc_Injuries&amp;action=edit&amp;section=14\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Moracia-Ochagav\u00eda I, Rodr\u00edguez-Merch\u00e1n EC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6667981\/pdf\/eor-4-430.pdf\">Lisfranc fracture-dislocations: current management.<\/a> EFORT Open Rev. 2019 Jul 2;4(7):430-444.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Ponkilainen VT, Laine HJ, M\u00e4enp\u00e4\u00e4 HM, Mattila VM, Haapasalo HH. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/epub\/10.1177\/1071100718799741\">Incidence and characteristics of midfoot injuries. Foot &amp; Ankle International<\/a>. 2019 Jan;40(1):105-12.<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Desmond EA, Chou LB. Current concepts review: Lisfranc injuries. Foot Ankle Int. 2006 Aug;27(8):653-60.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Myerson MS, Cerrato R. Current management of athletes&rsquo; tarsometatarsal injuries. Instr Course Lect. 2009;58:583-94. <\/span><\/li>\n<li id=\"cite_note-:1-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_5-2\">5.2<\/a><\/sup><\/span> <span class=\"reference-text\">Sobrado MF, Saito GH, Sakaki MH, Pontin PA, Santos AL, Fernandes TD. Epidemiological study on Lisfranc injuries. Acta Ortop\u00e9dica Brasileira. 2017 Jan;25:44-7.<\/span><\/li>\n<li id=\"cite_note-:8-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:8_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:8_6-1\">6.1<\/a><\/sup><\/span> <span class=\"reference-text\">St\u00f8dle AH, Hvaal KH, Enger M, Br\u00f8gger H, Madsen JE, Husebye EE. Lisfranc injuries: incidence, mechanisms of injury and predictors of instability. Foot and Ankle Surgery. 2020 Jul 1;26(5):535-40.<\/span><\/li>\n<li id=\"cite_note-:7-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_7-1\">7.1<\/a><\/sup> <sup><a href=\"#cite_ref-:7_7-2\">7.2<\/a><\/sup> <sup><a href=\"#cite_ref-:7_7-3\">7.3<\/a><\/sup> <sup><a href=\"#cite_ref-:7_7-4\">7.4<\/a><\/sup> <sup><a href=\"#cite_ref-:7_7-5\">7.5<\/a><\/sup> <sup><a href=\"#cite_ref-:7_7-6\">7.6<\/a><\/sup><\/span> <span class=\"reference-text\">Simpson H. Lisfranc Injuries Course. Plus, 2022.<\/span><\/li>\n<li id=\"cite_note-:2-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-1\">8.1<\/a><\/sup><\/span> <span class=\"reference-text\">Petrisor BA, Ekrol I, Court-Brown C. The epidemiology of metatarsal fractures. Foot &amp; ankle international. 2006 Mar;27(3):172-4.<\/span><\/li>\n<li id=\"cite_note-:3-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_9-1\">9.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_9-2\">9.2<\/a><\/sup><\/span> <span class=\"reference-text\">Buchanan BK, Donnally III CJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448147\/?report=printable\">Lisfranc dislocation<\/a>. InStatPearls (Internet) 2021 Jul 25. StatPearls Publishing.Last Update: February 2, 2022.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">DeLuca MK, Boucher LC. Morphology of the Lisfranc Joint Complex. The Journal of Foot and Ankle Surgery. 2022 Jul 25.<\/span><\/li>\n<li id=\"cite_note-:4-11\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_11-0\">11.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-1\">11.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-2\">11.2<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-3\">11.3<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-4\">11.4<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-5\">11.5<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-6\">11.6<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-7\">11.7<\/a><\/sup> <sup><a href=\"#cite_ref-:4_11-8\">11.8<\/a><\/sup><\/span> <span class=\"reference-text\">Yan A, Chen SR, Ma X, Shi Z, Hogan M. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2473011420982275\">Updates on Lisfranc Complex Injuries.<\/a> Foot Ankle Orthop. 2021 Jan 25;6(1):2473011420982275.<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Kalia V, Fishman EK, Carrino JA, Fayad LM. Epidemiology, imaging, and treatment of Lisfranc fracture-dislocations revisited. Skeletal Radiol. 2012 Feb;41(2):129-36.<\/span><\/li>\n<li id=\"cite_note-:0-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:0_13-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Porter DA, Barnes AF, Rund A, Walrod MT. Injury pattern in ligamentous Lisfranc injuries in competitive athletes. Foot &amp; Ankle International. 2019 Feb;40(2):185-94.<\/span><\/li>\n<li id=\"cite_note-:6-14\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_14-0\">14.00<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-1\">14.01<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-2\">14.02<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-3\">14.03<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-4\">14.04<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-5\">14.05<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-6\">14.06<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-7\">14.07<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-8\">14.08<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-9\">14.09<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-10\">14.10<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-11\">14.11<\/a><\/sup> <sup><a href=\"#cite_ref-:6_14-12\">14.12<\/a><\/sup><\/span> <span class=\"reference-text\">Clare MP. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5344858\/\">Lisfranc injuries<\/a>. Curr Rev Musculoskelet Med. 2017 Mar;10(1):81-85. <\/span><\/li>\n<li id=\"cite_note-:5-15\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_15-0\">15.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_15-1\">15.1<\/a><\/sup><\/span> <span class=\"reference-text\">Sripanich Y, Weinberg MW, Kr\u00e4henb\u00fchl N, Rungprai C, Mills MK, Saltzman CL, Barg A. Imaging in Lisfranc injury: a systematic literature review. Skeletal Radiology. 2020 Jan;49(1):31-53.<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Sandringham Sports Physio. Foot Arch Supportive Taping.2019. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=7QM41olCNS4\">https:\/\/www.youtube.com\/watch?v=7QM41olCNS4<\/a> (last accessed 29\/09\/2022)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230118212609 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.113 seconds Real time usage: 0.121 seconds Preprocessor visited node count: 425\/1000000 Post\u2010expand include size: 92\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 12033\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 8.631 1 Special:Contributors\/Current_Management_of_Lisfranc_Injuries 100.00% 8.631 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Ewa Jaraczewska d&rsquo;apr\u00e8s le cours de Helene Simpson Principaux contributeurs &#8211; Ewa Jaraczewska et Jess Bell Contenu 1 D\u00e9finition et \u00e9pid\u00e9miologie 1.1 Facteurs de risque 2 Anatomie cliniquement pertinente 3 M\u00e9canisme de la l\u00e9sion \/ Processus pathologique 4 Diagnostic 4.1 \u00c9valuation 4.2 Pr\u00e9sentation clinique 4.3 Proc\u00e9dures diagnostiques 5 Recommandations d&rsquo;intervention (11) 6 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4667","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4667","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=4667"}],"version-history":[{"count":2,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4667\/revisions"}],"predecessor-version":[{"id":4669,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4667\/revisions\/4669"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=4667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}