TY - JOUR
T1 - Plantar Ecchymosis Sign
T2 - A Clinical Aid to Diagnosis of Occult Lisfranc Tarsometatarsal Injuries
AU - Ross, Glen
AU - Cronin, Robert
AU - Hauzenblas, John
AU - Juliano, Paul
PY - 1996
Y1 - 1996
N2 - Diagnosis of subtle Lisfranc injuries can be difficult for the examining clinician. Radiographs do not always reveal the full extent of tarsometatarsal injuries. We describe a clinical sign found in significant Lisfranc injuries that consists of a mid-foot ecchymotic area on the plantar aspect. This implies the potential for significant injury to the plantar tarsometatarsal ligaments. We call this the plantar ecchymosis sign. Patients with this injury and sign should be aggressively evaluated, with early consideration for stress radiographs and ORIF if indicated, as the prognosis of the undertreated Lisfranc injury is poor.
AB - Diagnosis of subtle Lisfranc injuries can be difficult for the examining clinician. Radiographs do not always reveal the full extent of tarsometatarsal injuries. We describe a clinical sign found in significant Lisfranc injuries that consists of a mid-foot ecchymotic area on the plantar aspect. This implies the potential for significant injury to the plantar tarsometatarsal ligaments. We call this the plantar ecchymosis sign. Patients with this injury and sign should be aggressively evaluated, with early consideration for stress radiographs and ORIF if indicated, as the prognosis of the undertreated Lisfranc injury is poor.
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U2 - 10.1097/00005131-199602000-00008
DO - 10.1097/00005131-199602000-00008
M3 - Article
C2 - 8932671
AN - SCOPUS:0030338319
SN - 0890-5339
VL - 10
SP - 119
EP - 122
JO - Journal of orthopaedic trauma
JF - Journal of orthopaedic trauma
IS - 2
ER -