Lisfranc ligament
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
Updates to Article Attributes
The Lisfranc ligament refers to the most important ligament of the Lisfranc joint ligamentous complex. It is one of the most commonly disrupted ligaments in midfoot injuries.
The ligament complex acts as an important stabiliser of the midfoot, connecting the medial cuneiform to the base of the second metatarsal creating a keystone-like configuration between the medial and lateral cuneiforms.
Gross anatomy
The research exploring the configuration of the Lisfranc Ligament complex is variable 6, however typically the Lisfranc ligament extends obliquely from the lateral surface of the medial cuneiform to the medial aspect of the base of the second metatarsal and is comprised of three bands 1,4 :
dorsal ligament: weakest
interosseous ligament ("Lisfranc ligament proper")
plantar ligament: sends bundles to the second and third metatarsal bases (variable)
Radiographic features
MRI
The Lisfranc ligament can have a homogeneous low signal or striated appearance with low-to-intermediate signal intensity on MR images 1,3,4.
-
oblique coronal sequences
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 images
clearly display the corresponding situation of the Lisfranc joint bone and longitudinal arch of the foot
tolerably displays the Lisfranc joint dorsal ligament
poorly displays the Lisfranc ligament proper
History and etymology
It is named after Jacques Lisfranc De Saint Martin (1790-1847), French surgeon 2.
Related pathology
-<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 commonly disrupted ligaments in <a href="/articles/midfoot-injuries">midfoot injuries</a>.</p><p>The ligament complex acts as an important stabiliser of the midfoot, connecting the medial cuneiform to the base of the second metatarsal creating a keystone-like configuration between the medial and lateral cuneiforms.</p><h4>Gross anatomy</h4><p>The research exploring the configuration of the Lisfranc Ligament complex is variable <sup>6</sup>, however typically the Lisfranc ligament extends obliquely from the lateral surface of the <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>- +<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 commonly disrupted ligaments in <a href="/articles/midfoot-injuries">midfoot injuries</a>.</p><p>The ligament complex acts as an important stabiliser of the midfoot, connecting the medial cuneiform to the base of the second metatarsal creating a keystone-like configuration between the medial and lateral cuneiforms.</p><h4>Gross anatomy</h4><p>The research exploring the configuration of the Lisfranc Ligament complex is variable <sup>6</sup>, however typically the Lisfranc ligament extends obliquely from the lateral surface of the <a href="/articles/medial-cuneiform">medial cuneiform</a> to the medial aspect of the base of the second <a href="/articles/metatarsal">metatarsal</a> and is comprised of three bands <sup>1,4</sup> :</p><ul>
- +<li><p>dorsal ligament: weakest</p></li>
- +<li><p>interosseous ligament ("Lisfranc ligament proper")</p></li>
- +<li><p>plantar ligament: sends bundles to the second and third metatarsal bases (variable)</p></li>
-<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>-<li>can clearly display the horizontal arch of the Lisfranc joint and more clearly display its surrounding ligaments and tendons</li>- +<li>
- +<p>oblique coronal sequences</p>
- +<ul>
- +<li><p>clearly display the transverse arch of the foot and clearly display the cross-section of the Lisfranc ligament</p></li>
- +<li><p>can clearly display the horizontal arch of the Lisfranc joint and more clearly display its surrounding ligaments and tendons</p></li>
-<li>sagittal images<ul>-<li>clearly display the corresponding situation of the Lisfranc joint bone and longitudinal arch of the foot</li>-<li>tolerably displays the Lisfranc joint dorsal ligament</li>-<li>poorly displays the Lisfranc ligament proper</li>- +<li>
- +<p>sagittal images</p>
- +<ul>
- +<li><p>clearly display the corresponding situation of the Lisfranc joint bone and longitudinal arch of the foot</p></li>
- +<li><p>tolerably displays the Lisfranc joint dorsal ligament</p></li>
- +<li><p>poorly displays the Lisfranc ligament proper</p></li>
-<a href="/articles/lisfranc-injury">Lisfranc injury</a><ul><li><a href="/articles/fleck-sign-foot">fleck sign</a></li></ul>- +<p><a href="/articles/lisfranc-injury">Lisfranc injury</a></p>
- +<ul>
- +<li><p><a href="/articles/fleck-sign-foot">fleck sign</a></p></li>
- +<li><p><a href="/articles/step-off-sign" title="Step off sign">step off sign</a></p></li>
- +</ul>
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