Inscrição na biblioteca: Guest
Portal Digital Begell Biblioteca digital da Begell eBooks Diários Referências e Anais Coleções de pesquisa
Critical Reviews™ in Biomedical Engineering
SJR: 0.243 SNIP: 0.376 CiteScore™: 0.79

ISSN Imprimir: 0278-940X
ISSN On-line: 1943-619X

Volume 47, 2019 Volume 46, 2018 Volume 45, 2017 Volume 44, 2016 Volume 43, 2015 Volume 42, 2014 Volume 41, 2013 Volume 40, 2012 Volume 39, 2011 Volume 38, 2010 Volume 37, 2009 Volume 36, 2008 Volume 35, 2007 Volume 34, 2006 Volume 33, 2005 Volume 32, 2004 Volume 31, 2003 Volume 30, 2002 Volume 29, 2001 Volume 28, 2000 Volume 27, 1999 Volume 26, 1998 Volume 25, 1997 Volume 24, 1996 Volume 23, 1995

Critical Reviews™ in Biomedical Engineering

DOI: 10.1615/CritRevBiomedEng.v43.i2-3.60
pages 213-238

Etiology and Biomechanics of Midfoot (Lisfranc) Injuries in Athletes

Brent Lievers
Laurentian University
Rebecca E. Frimenko
Center for Applied Biomechanics, University of Virginia; Infoscitex, Dayton, Ohio, USA
Kirk A. McCullough
Orthopaedic and Sports Medicine Clinic of Kansas City, Leawood, Kansas, USA
Jeff R. Crandall
Center for Applied Biomechanics, University of Virginia, Charlottesville, Virginia, USA
Richard W. Kent
Center for Applied Biomechanics, University of Virginia, Charlottesville, Virginia, USA


Tarsometatarsal (TMT) dislocations are an uncommon but debilitating athletic injury. When symptomatic midfoot instability persists, an injured athlete frequently requires surgical stabilization and rehabilitation for up to 9 months before returning to full athletic participation. Unfortunately, the limited biomechanical knowledge of this injury prevents prophylactic measures from being developed that could reduce an athlete's risk of injury. The goal of this article is to summarize the literature on TMT dislocations, with a particular emphasis on the relevant biomechanics, in an attempt to clarify the circumstances and mechanisms under which these injuries occur. Since athletic injuries represent only a small portion of all TMT dislocations, other categories of injuries are also considered for the insight they provide. This review first summarizes the anatomy of the TMT joint as well as the clinical details surrounding TMT dislocations. The various hypothesized injury mechanisms are then reviewed with particular attention given to cadaveric studies that investigate these mechanisms. Based on this critical review, gaps in the research related to epidemiologic data, full-scale and component testing, numerical modeling, and countermeasure development, are identified. Only by improving our understanding of the causes and biomechanics can steps be taken to protect athletes from these injuries.

Articles with similar content:

Etiology and Biomechanics of First Metatarsophalangeal Joint Sprains (turf toe) in Athletes
Critical Reviews™ in Biomedical Engineering, Vol.40, 2012, issue 1
Michael J. Coughlin, Brent Lievers, Richard W. Kent, Robert B. Anderson, Jeff R. Crandall, Rebecca E. Frimenko
Informed Consent for Clinical Evaluations of Investigational Implantable Medical Devices
Journal of Long-Term Effects of Medical Implants, Vol.17, 2007, issue 1
S. Michael Sharp
The Biomechanics of Upper Extremity Kinematic and Kinetic Modeling: Applications to Rehabilitation Engineering
Critical Reviews™ in Biomedical Engineering, Vol.36, 2008, issue 2-3
Gerald F. Harris, Brooke A. Slavens
Device-Related Infections: A Review
Journal of Long-Term Effects of Medical Implants, Vol.15, 2005, issue 5
John M. Embil, Donald C. Vinh
The Association for Medical Ethics and the Physician Payment Sunshine Act
Ethics in Biology, Engineering and Medicine: An International Journal, Vol.1, 2010, issue 3
Charles Rosen