Lisfranc injury: assessment and management in emergency departments.
Injuries to the tarsometatarsal joint complex, also referred to as a Lisfranc injury, are relatively uncommon presentations to emergency departments (EDs), however accurate diagnosis is vital to prevent the risk of long-term disability. Advanced nurse practitioners (ANPs) must use a broad range of clinical skills to manage patients' injuries effectively. A high level of suspicion, recognition of the clinical manifestations of Lisfranc injury and appropriate radiographic images are required to formulate a correct diagnosis. This article describes Lisfranc injuries, revises the anatomy of the midfoot, and discusses diagnosis and management. It includes a case study to illustrate assessment and management of a patient who presented to an ED with a Lisfranc injury following a fall from a height and considers the diagnostic decisions and management options available to ANPs.
['McBrien|Barry|B|']
D004636:Emergency Service, Hospital D055416:Evidence-Based Emergency Medicine D005260:Female D018409:Foot Injuries D050723:Fractures, Bone D006801:Humans D008682:Metatarsal Bones D008875:Middle Aged D017410:Practice Guidelines as Topic D013639:Tarsal Bones D016896:Treatment Outcome
nurse practitioners clinical skills patients X-rays fractures nursing roles orthopaedics patient assessment professional issues