Lisfranc ligament

Changed by Henry Knipe, 8 Nov 2019

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The Lisfranc ligament refers to the most important ligament of the Lisfranc joint ligamentous complex. It is one of the most often disrupted ligaments in midfoot injuries.

Gross anatomy

The Lisfranc extends obliquely from the lateral surface of medial cuneiform to the medial aspect of the base of the second metatarsal and is ~~also~~comprised of three bands ^1,4:

dorsal ligament: weakest
interosseous ligament ("Lisfranc ligament proper")
plantar ligament: sends bundles to the ~~one most often disrupted in midfoot injuries~~ ~~¹~~. The base of the 2~~^nd~~second and third metatarsal ~~keystones into the cuneiforms.~~bases (variable)

Radiographic features

MRI

~~It shows~~The Lisfranc ligament can have a homogeneous low signal or striated appearance ~~and~~with low ~~to intermediate~~-to-intermediate signal intensity inon MR images ^1,3,4.

~~Oblique~~

oblique coronal ~~images~~ ³sequences
- clearly display the transverse arch of the foot and clearly display the cross-section of the Lisfranc ligament.
- can clearly display the horizontal arch of the Lisfranc joint and more clearly display its surrounding ligaments and tendons
~~Sagittal~~
sagittal images³
- clearly display the corresponding situation of the Lisfranc joint bone and longitudinal arch of the foot
- tolerably ~~display~~displays the Lisfranc joint dorsal ~~ligaments and metatarsal ligaments~~ligament
- poorly ~~display~~displays the Lisfranc ligament proper

History and etymology

It is named after Jacques Lisfranc De Saint Martin (1790-1847), French surgeon ².

Related pathology

Lisfranc injury
- fleck sign

-<p>The <strong>Lisfranc ligament </strong>refers to the most important ligament of the <a href="/articles/lisfranc-joint">Lisfranc joint</a> ligamentous complex. It extends from the lateral surface of <a href="/articles/medial-cuneiform">medial cuneiform</a> to the medial aspect of the base of the second <a href="/articles/metatarsals">metatarsal</a> and is also the one most often disrupted in midfoot injuries <sup>1</sup>. The base of the 2<sup>nd</sup> metatarsal keystones into the cuneiforms.</p><h4>Radiographic features</h4><h5>MRI</h5><p>It shows striated appearance and low to intermediate signal intensity in MR images <sup>1</sup>.</p><p>Oblique coronal images <sup>3</sup></p><ul>
~~-<li>clearly display the transverse arch of the foot and clearly display the cross-section of the Lisfranc ligament.</li>~~
+<p>The <strong>Lisfranc ligament </strong>refers to the most important ligament of the <a href="/articles/lisfranc-joint">Lisfranc joint</a> ligamentous complex. It is one of the most often disrupted ligaments in <a title="midfoot injuries" href="/articles/midfoot-injuries">midfoot injuries</a>.</p><h4>Gross anatomy</h4><p>The Lisfranc extends obliquely from the lateral surface of <a href="/articles/medial-cuneiform">medial cuneiform</a> to the medial aspect of the base of the second <a href="/articles/metatarsals">metatarsal</a> and is comprised of three bands <sup>1,4</sup>:</p><ul>
+<li>dorsal ligament: weakest</li>
+<li>interosseous ligament ("Lisfranc ligament proper")</li>
+<li>plantar ligament: sends bundles to the second and third metatarsal bases (variable)</li>
+</ul><h4>Radiographic features</h4><h5>MRI</h5><p>The Lisfranc ligament can have a homogeneous low signal or striated appearance with low-to-intermediate signal intensity on MR images <sup>1,3,4</sup>.</p><ul>
+<li>oblique coronal sequences<ul>
+<li>clearly display the transverse arch of the foot and clearly display the cross-section of the Lisfranc ligament</li>
~~-</ul><p>Sagittal images <sup>3</sup></p><ul>~~
+</ul>
+</li>
+<li>sagittal images<ul>
~~-<li>tolerably display the Lisfranc joint dorsal ligaments and metatarsal ligaments</li>~~
~~-<li>poorly display the Lisfranc ligament</li>~~
-</ul><h4>History and etymology</h4><p>It is named after <strong>Jacques Lisfranc De Saint Martin</strong> (1790-1847), French surgeon <sup>2</sup>.</p><h4>Related pathology</h4><ul><li><a href="/articles/lisfranc-injury">Lisfranc injury</a></li></ul>
+<li>tolerably displays the Lisfranc joint dorsal ligament</li>
+<li>poorly displays the Lisfranc ligament proper</li>
+</ul>
+</li>
+</ul><h4>History and etymology</h4><p>It is named after <strong>Jacques Lisfranc De Saint Martin</strong> (1790-1847), French surgeon <sup>2</sup>.</p><h4>Related pathology</h4><ul><li>
+<a href="/articles/lisfranc-injury">Lisfranc injury</a><ul><li><a href="/articles/fleck-sign-foot">fleck sign</a></li></ul>
+</li></ul>

References changed:

4. Siddiqui N, Galizia M, Almusa E, Omar I. Evaluation of the Tarsometatarsal Joint Using Conventional Radiography, CT, and MR Imaging. Radiographics. 2014;34(2):514-31. <a href="https://doi.org/10.1148/rg.342125215">doi:10.1148/rg.342125215</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/24617695">Pubmed</a>