Lisfranc ligament
Citation, DOI, disclosures and article data
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View Alejandro Cruz's current disclosuresAt the time the article was last revised Arlene Campos had no financial relationships to ineligible companies to disclose.
View Arlene Campos's current disclosures- Lisfranc ligaments
- Lisfranc ligament proper
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 stabilizer 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.
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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
This ligament is named after Jacques Lisfranc de Saint-Martin (1790-1847), French surgeon 2.
Related pathology
References
- 1. Castro M, Melão L, Canella C et al. Lisfranc Joint Ligamentous Complex: MRI with Anatomic Correlation in Cadavers. AJR Am J Roentgenol. 2010;195(6):W447-55. doi:10.2214/AJR.10.4674 - Pubmed
- 2. Hunter T, Peltier L, Lund P. Radiologic History Exhibit. Musculoskeletal Eponyms: Who Are Those Guys? Radiographics. 2000;20(3):819-36. doi:10.1148/radiographics.20.3.g00ma20819 - Pubmed
- 3. Ablimit A, Ding H, Liu L. Magnetic Resonance Imaging of the Lisfranc Ligament. J Orthop Surg Res. 2018;13(1):282. doi:10.1186/s13018-018-0968-x - Pubmed
- 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. doi:10.1148/rg.342125215 - Pubmed
- 5. Palmer W, Bancroft L, Bonar F et al. Glossary of Terms for Musculoskeletal Radiology. Skeletal Radiol. 2020;49(Suppl 1):1-33. doi:10.1007/s00256-020-03465-1 - Pubmed
- 6. Sripanich Y, Steadman J, Krähenbühl N et al. Anatomy and Biomechanics of the Lisfranc Ligamentous Complex: A Systematic Literature Review. J Biomech. 2021;119:110287. doi:10.1016/j.jbiomech.2021.110287 - Pubmed
Incoming Links
- Divergent Lisfranc fracture-dislocation
- Lisfranc injury
- Lisfranc fracture-dislocation
- Lisfranc injury - homolateral
- Lisfranc injury - an approach
- Lisfranc injury (weightbearing x-rays)
- Lisfranc ligaments (creative commons)
- Lisfranc fracture, Myerson type A
- Lisfranc injury
- Divergent Lisfranc fracture-dislocation
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