{"id":4666,"date":"2023-01-25T15:34:18","date_gmt":"2023-01-25T15:34:18","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/current-management-of-lisfranc-injuries-it\/"},"modified":"2023-01-26T14:02:55","modified_gmt":"2023-01-26T14:02:55","slug":"current-management-of-lisfranc-injuries-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/current-management-of-lisfranc-injuries-it\/","title":{"rendered":"Gestione attuale delle lesioni di Lisfranc"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>Redattrice principale <\/b>&#8211; <a href=\"\/User:Ewa_Jaraczewska\" title=\"User:Ewa Jaraczewska\">Ewa Jaraczewska<\/a> sulla base del corso di <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/helene-simpson\/\">Helene Simpson<\/a><br \/>\n<b>Collaboratori principali<\/b> &#8211; <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a> e <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\">Contenuti<\/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\">Definizione ed epidemiologia<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Risk_Factors\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">Fattori di rischio<\/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\">Anatomia clinicamente rilevante<\/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\">Meccanismo di lesione \/ processo patologico<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Diagnosis\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Diagnosi<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Assessment\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Valutazione<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Presentazione clinica<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Procedure diagnostiche<\/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\">Raccomandazioni per l&#8217;intervento<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\">Gestione \/ Intervento<\/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\">Gestione conservativa<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\">Gestione chirurgica<\/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\">Risorse<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Definition_and_Epidemiology\">Definizione ed epidemiologia<\/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\">modifica<\/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\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&#8217;<a href=\"\/Lisfranc_Injuries\" title=\"Lisfranc Injuries\">articolazione di Lisfranc<\/a> \u00e8 il punto in cui le ossa tarsali si collegano alle ossa metatarsali, ossia l&#8217;articolazione tarso-metatarsale (TMT). La &#8220;lesione di Lisfranc&#8221; \u00e8 stata descritta per la prima volta nel 1815 dal chirurgo e ginecologo francese Jacques Lisfranc de St. Martin (1787-1847). \u00c8 una condizione in cui una o pi\u00f9 ossa metatarsali sono spostate.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<p>Secondo Ponkilainen et al.,<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> l&#8217;epidemiologia delle lesioni del mesopiede, comprese le lesioni di Lisfranc, non \u00e8 ben conosciuta. Uno studio di cinque anni ha rilevato che tra tutti i traumi del mesopiede, la lesione di Lisfranc si \u00e8 verificata nel 18,2% dei casi. Un&#8217;indagine di Desmond e Chou<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> ha confermato questo tipo di lesione in meno del 2% di tutte le fratture. Tuttavia, le statistiche indicano che la diagnosi non \u00e8 sempre adeguata. Una diagnosi tardiva o mancata si verifica nel 20% dei casi.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> \u00c8 stato riscontrato che:<\/p>\n<ul>\n<li>Le lesioni di Lisfranc sono pi\u00f9 frequenti negli uomini e il rapporto riportato \u00e8 di 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 causa pi\u00f9 comune di lesione traumatica \u00e8 il trauma a bassa energia<sup id=\"cite_ref-:8_6-0\" class=\"reference\"><a href=\"#cite_note-:8-6\">(6)<\/a><\/sup> (ad esempio una caduta su un piede in flessione plantare).<sup id=\"cite_ref-:7_7-0\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Il trauma ad alta energia pi\u00f9 frequente \u00e8 l&#8217;incidente d&#8217;auto, seguito da quello in moto.<sup id=\"cite_ref-:1_5-1\" class=\"reference\"><a href=\"#cite_note-:1-5\">(5)<\/a><\/sup><\/li>\n<li>Le fratture pi\u00f9 comuni includono il secondo e il quinto osso metatarsale,<sup id=\"cite_ref-:2_8-0\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup> seguite dall&#8217;osso cuboide.<sup id=\"cite_ref-:1_5-2\" class=\"reference\"><a href=\"#cite_note-:1-5\">(5)<\/a><\/sup><\/li>\n<li>Le <a href=\"\/Metatarsal_Fractures\" title=\"Metatarsal Fractures\">fratture metatarsali<\/a> multiple non sono rare. In questi casi, le fratture del terzo metatarso sono associate a una frattura del secondo o del quarto metatarso.<sup id=\"cite_ref-:2_8-1\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/li>\n<li>Le lesioni di Lisfranc si verificano pi\u00f9 frequentemente negli atleti.<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\">Fattori di rischio<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>I seguenti possono aumentare il rischio di lesioni instabili:<sup id=\"cite_ref-:8_6-1\" class=\"reference\"><a href=\"#cite_note-:8-6\">(6)<\/a><\/sup><\/p>\n<ul>\n<li>Fratture intra-articolari nelle due articolazioni tarso-metatarsali laterali<\/li>\n<li>Genere femminile<\/li>\n<li>Un&#8217;altezza inferiore della seconda articolazione tarso-metatarsale<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Clinically_Relevant_Anatomy\">Anatomia clinicamente rilevante<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le lesioni di Lisfranc comportano un trauma all&#8217;articolazione tarso-metatarsale (TMT). Le descrizioni di questa lesione variano notevolmente, cos\u00ec come la documentazione dell&#8217;anatomia dell&#8217;articolazione di Lisfranc.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<p>Il complesso articolare di Lisfranc comprende le <a href=\"\/Metatarsals\" title=\"Metatarsals\">ossa metatarsali<\/a> dal primo al quinto, tre <a href=\"\/Cuneiforms\" title=\"Cuneiformi\">ossa cuneiformi<\/a>, il <a href=\"\/Cuboid\" title=\"Cuboide\">cuboide<\/a>, i legamenti interconnessi, le capsule e i tendini di rinforzo. Il ruolo principale di questa articolazione \u00e8 quello di fornire stabilit\u00e0 al mesopiede.<sup id=\"cite_ref-:4_11-0\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup> Le basi metatarsali creano una struttura ad arco, con il secondo osso metatarsale come punto centrale (ovvero la chiave di volta).<sup id=\"cite_ref-:4_11-1\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup> Si articola con il secondo osso cuneiforme e si trova tra il primo e il terzo cuneiforme. I seguenti legamenti dell&#8217;articolazione tarso-metatarsale contribuiscono alla forza dell&#8217;articolazione:<sup id=\"cite_ref-:4_11-2\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/p>\n<ul>\n<li>Legamenti dorsali (direzione longitudinale)<\/li>\n<li>Legamenti interossei (direzione trasversale)<\/li>\n<li>Legamenti plantari (direzione obliqua)<\/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>Tre colonne del piede<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Esistono tre sistemi di articolazioni sinoviali tarso-metatarsali che si riferiscono alle tre colonne del piede:<sup id=\"cite_ref-:4_11-3\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/p>\n<ol>\n<li>Colonna mediale (dal primo osso cuneiforme al primo osso metatarsale)<\/li>\n<li>Colonna di mezzo (dal secondo osso cuneiforme al secondo metatarso e dal terzo cuneiforme al terzo metatarso)<\/li>\n<li>Colonna laterale (dall&#8217;osso cuboide al quarto e quinto osso metatarsale)<\/li>\n<\/ol>\n<p>Ulteriori informazioni sulle ossa e sui legamenti del piede sono disponibili <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Bones_and_Ligaments\" title=\"Anatomia di base di piede e caviglia - Ossa e legamenti\">qui<\/a>.<\/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>Meccanismo di lesione indiretta nelle fratture-lussazioni dell&#8217;articolazione di 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\">Meccanismo di lesione \/ Processo patologico<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le lesioni di Lisfranc possono essere causate da:<\/p>\n<ol>\n<li><b>Trauma diretto, ad alto livello di energia<\/b>: lesione da schiacciamento della regione articolare, incidente sul lavoro (un peso pesante finisce sul piede quando viene lasciato cadere da un&#8217;altezza), caduta da un&#8217;altezza, incidente automobilistico.<sup id=\"cite_ref-:3_9-1\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/li>\n<li><b>Trauma indiretto, a basso livello di energia<\/b>: infortunio sportivo che &#8220;di solito comporta una forza longitudinale mentre il piede \u00e8 in flessione plantare con una forza rotatoria mediale o laterale&#8221;,<sup id=\"cite_ref-:3_9-2\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup> discesa da un marciapiede con il piede forzato in flessione plantare,<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> caduta a livello del terreno.<\/li>\n<\/ol>\n<p>La classificazione delle lesioni di Lisfranc comprende:<sup id=\"cite_ref-:0_13-0\" class=\"reference\"><a href=\"#cite_note-:0-13\">(13)<\/a><\/sup><\/p>\n<ul>\n<li>Lussazione tradizionale (lacerazione del primo e del secondo legamento tarso-metatarsale)<\/li>\n<li>Lussazione della colonna mediale (lacerazione del secondo legamento tarso-metatarsale e del legamento cuneiforme medio-mediale)<\/li>\n<li>Lussazione in estensione prossimale (lacerazione del primo, secondo e del legamento cuneiforme medio-mediale)<\/li>\n<\/ul>\n<p>Le lesioni a bassa energia comprendono le lesioni parziali (distorsioni). In questo tipo di lesione, i legamenti tarso-metatarsali plantari rimangono intatti e la lesione \u00e8 stabile.<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\">Diagnosi<\/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\">Valutazione<\/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>Ogni valutazione dovrebbe includere i seguenti componenti:<sup id=\"cite_ref-:6_14-1\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li>Colloquio\/storia medica\n<ul>\n<li>Meccanismo di lesione esatto, compresa la posizione del piede, la direzione della forza e l&#8217;entit\u00e0 dell&#8217;energia coinvolta<\/li>\n<li>Localizzazione del dolore e strutture potenzialmente coinvolte<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Palpazione del mesopiede<\/li>\n<\/ul>\n<ul>\n<li>Ispezione dei tessuti molli<\/li>\n<li>Controllo dell&#8217;ecchimosi (ematoma) plantare a livello del mesopiede<\/li>\n<li>Manovre provocatorie per valutare l&#8217;instabilit\u00e0: schiacciatura del mesopiede, pronazione, supinazione, abduzione, adduzione, appoggio monopodalico<\/li>\n<li>Range di movimento passivo nei piani sagittale e coronale di tutte e tre le colonne del piede<\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Clinical_Presentation\">Presentazione clinica<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Dolore diffuso nel mesopiede, che di solito dura alcuni giorni. Il dolore si irradia al terzo dito del piede quando si esercita una pressione in corrispondenza del mesopiede <sup id=\"cite_ref-:7_7-1\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Dolenzia alla palpazione del mesopiede<sup id=\"cite_ref-:6_14-2\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Riproduzione del dolore con il movimento passivo dell&#8217;avampiede<sup id=\"cite_ref-:6_14-3\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Incapacit\u00e0 di caricare<sup id=\"cite_ref-:6_14-4\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup> \/ difficolt\u00e0 a caricare con il proprio peso corporeo<\/li>\n<li>Sviluppo di strategie di compensazione per il dolore e le limitazioni della mobilit\u00e0, compreso l&#8217;uso di scarpe di pelle rigida o stivali<sup id=\"cite_ref-:7_7-2\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Edema da vaiolatura<sup id=\"cite_ref-:7_7-3\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Appiattimento dell&#8217;<a href=\"\/Arches_of_the_Foot\" title=\"Arches of the Foot\">arco trasverso<\/a><sup id=\"cite_ref-:7_7-4\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><\/li>\n<li>Ecchimosi plantare in corrispondenza del mesopiede dovuta a rottura del legamento<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>Lussazione\/rottura di Lisfranc<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span class=\"mw-headline\" id=\"Diagnostic_Procedures\">Procedure diagnostiche<\/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\">modifica<\/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\">modifica sorgente<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>La radiografia per valutare la diastasi alle articolazioni TMT comprende:<sup id=\"cite_ref-:4_11-4\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup>\n<ul>\n<li>Lastre standard con tre proiezioni del piede: proiezioni antero-posteriore, obliqua interna a 30 gradi e laterale.<\/li>\n<li>Il paziente dovrebbe essere in piedi e in carico per tutte le proiezioni<\/li>\n<li>\u00c8 necessario eseguire una radiografia di entrambi i piedi per fare un confronto.<\/li>\n<li>Nel 20-50% dei casi, le lesioni di Lisfranc tendono a sfuggire alle immagini radiografiche quando vengono eseguite in posizioni non in carico.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Secondo Yan et al.,<sup id=\"cite_ref-:4_11-5\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup> l&#8217;accuratezza diagnostica delle radiografie \u00e8 bassa. Se i sintomi clinici persistono, ma la radiografia \u00e8 negativa, il paziente dovrebbe essere rinviato per una tomografia computerizzata (TAC) o una risonanza magnetica (RM).<sup id=\"cite_ref-:4_11-6\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/p>\n<ul>\n<li>La TAC per rilevare fratture non scomposte e sublussazioni ossee minime.<sup id=\"cite_ref-:5_15-0\" class=\"reference\"><a href=\"#cite_note-:5-15\">(15)<\/a><\/sup><\/li>\n<li>La risonanza magnetica per valutare le anomalie dei legamenti.<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\">Raccomandazioni per l&#8217;intervento<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)\">modifica<\/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)\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Gestione conservativa:\n<ul>\n<li>Lesioni di Lisfranc senza evidenza di instabilit\u00e0 (&lt;2 mm di diastasi)<\/li>\n<li>Fratture extra-articolari con stabilit\u00e0 confermata dal carico<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>Gestione operativa:\n<ul>\n<li>Tutti i tipi di lesione non elencati sopra sono adatti alla gestione chirurgica\n<ul>\n<li>Non esiste un unico trattamento chirurgico ottimale<\/li>\n<li>Mancano inoltre evidenze concrete a sostegno di una particolare modalit\u00e0 di trattamento<\/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\">Gestione \/ Intervento<\/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\">modifica<\/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\">modifica fonte<\/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\">Gestione conservativa<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)\">modifica<\/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)\">modifica fonte<\/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>Rinforzo degli intrinseci con resistenza<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Gestione del dolore<\/p>\n<ul>\n<li>Supporto dell&#8217;<a href=\"\/Arches_of_the_Foot\" title=\"Arches of the Foot\">arco mediale<\/a>. Il tipo di supporto dipende dal grado di lesione e pu\u00f2 comprendere: indossare uno stivale, scarpe sostenitive o un&#8217;ortesi personalizzata<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Immobilizzazione: immobilizzare in un gesso o in uno stivale per 6-10 settimane per rimuovere il carico sul piede<\/li>\n<li>Limitare le attivit\u00e0 in carico: non forzare per il carico completo<\/li>\n<li>Supporto per l&#8217;arco plantare: considerare il supporto per l&#8217;arco plantare nello stivale e nel gesso<\/li>\n<li>Programma di rinforzo per:\n<ul>\n<li>Intrinseci del piede per migliorare il supporto dinamico del piede<\/li>\n<li>Flessori delle dita dei piedi per aiutare nella fase di spinta delle dita<\/li>\n<li><a href=\"\/Tibialis_posterior_rupture\" title=\"Tibialis posterior rupture\">Tibiale posteriore<\/a><\/li>\n<li>Rinforzo isometrico del <a href=\"\/Peroneus_longus_and_brevis_tests\" title=\"Peroneus longus and brevis tests\">peroneo lungo<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Taping dell&#8217;arco metatarsale per migliorare la stabilit\u00e0<\/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>Fitness cardiovascolare<\/li>\n<li><a href=\"\/Core_Stability\" title=\"Core Stability\">Rinforzo del core<\/a><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Surgical_Management\">Gestione chirurgica<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Quando la lesione \u00e8 instabile, \u00e8 indicata la gestione chirurgica per i legamenti, l&#8217;osso o una combinazione di entrambi:<sup id=\"cite_ref-:6_14-7\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/p>\n<ol>\n<li>Riduzione e immobilizzazione di qualsiasi lussazione che produca tensione della pelle e dei tessuti molli.<sup id=\"cite_ref-:6_14-8\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>La fissazione esterna temporanea per le lesioni ad alta energia \u00e8 indicata quando la steccatura non \u00e8 sufficiente a mantenere l&#8217;allineamento.<sup id=\"cite_ref-:6_14-9\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Il gonfiore dei tessuti deve essere risolto prima di programmare un intervento chirurgico definitivo (10-14 giorni dopo la lesione).<sup id=\"cite_ref-:6_14-10\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup> La regola generale per la tempistica dell&#8217;intervento \u00e8 &#8220;prima \u00e8, meglio \u00e8, purch\u00e9 il gonfiore sia gestibile&#8221;.<sup id=\"cite_ref-:4_11-8\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup><\/li>\n<li>Riduzione aperta e fissazione interna (ORIF) con fissazione tramite vite transarticolare.<sup id=\"cite_ref-:6_14-11\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>ORIF con artrodesi primaria quando \u00e8 presente uno schema legamentoso puro.<sup id=\"cite_ref-:6_14-12\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<\/ol>\n<blockquote><p>Una buona riduzione anatomica durante l&#8217;intervento migliora significativamente l&#8217;outcome.<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\">Risorse<\/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&#8217;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\">Citazioni<\/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&#8217; 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>Redattrice principale &#8211; Ewa Jaraczewska sulla base del corso di Helene Simpson Collaboratori principali &#8211; Ewa Jaraczewska e Jess Bell Contenuti 1 Definizione ed epidemiologia 1.1 Fattori di rischio 2 Anatomia clinicamente rilevante 3 Meccanismo di lesione \/ processo patologico 4 Diagnosi 4.1 Valutazione 4.2 Presentazione clinica 4.3 Procedure diagnostiche 5 Raccomandazioni per l&#8217;intervento(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-4666","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4666","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=4666"}],"version-history":[{"count":4,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4666\/revisions"}],"predecessor-version":[{"id":4683,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4666\/revisions\/4683"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=4666"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}