Lisfranc injury: assessment and management in emergency departments
Intended for healthcare professionals
Evidence and practice    

Lisfranc injury: assessment and management in emergency departments

Barry McBrien Advanced nurse practitioner, Emergency department, Tallaght Hospital, Dublin, Ireland

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.

Emergency Nurse. doi: 10.7748/en.2018.e1841


McBrien B (2018) Lisfranc injury: assessment and management in emergency departments. Emergency Nurse. doi: 10.7748/en.2018.e1841

Peer review

This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software


Conflict of interest

None declared

Published online: 30 October 2018

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