Podiatry and Medical - Set 2

Category - Podiatry Part II

What is the optimal management of a fracture-dislocation of the tarsal-metatarsal joint, also known as Lisfranc’s joint?
  1. Posterior splint, with orthopedic follow-up as needed
  2. Urgent orthopedic consultation for possible open reduction and internal fixation
  3. Splint the patient in equinus and follow up with orthopedics in 2 to 3 days
  4. Cast the foot and follow up with orthopedics in 2 to 3 days
Explanation
Answer − B − The optimal management of a fracture-dislocation of the tarsal-metatarsal joint, also known as Lisfranc’s joint, is urgent orthopedic consultation for possible open reduction and internal fixation. A fracture at the base of the second metatarsal is almost pathognomonic of a disrupted joint. Treatment is difficult and may require open reduction and internal fixation. It is important to obtain orthopedic consultation as early as possible.
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