Lisfranc fracture-dislocation S93.326A 838.03 synonyms:Lisfranc fracture, lisfrance fracture-dislocation, tarsometatarsal joint injury, tarsometatarsal fracture-dislocation, tarsometatarsal dislocation LisFranc ICD-10 S93.324A - Dislocation of tarsometatarsal joint of right foot, initial encounter
Patient presents for treatment of a left Lisfranc fracture dislocation. The first through fifth tarsometatarsal joints were dislocated and there was a fracture at the base of the second tarsometatarsal joint. Initially closed reduction was performed to align all of the dislocated tarsometatarsal joints.
LisFranc ICD-10. S93.324A - Dislocation of tarsometatarsal joint of right foot, initial encounter. S93.325A - Dislocation of tarsometatarsal joint of left foot, initial encounter. S93.326A - Dislocation of tarsometatarsal joint of unspecified foot, initial encounter.
Lisfranc Injury - Foot & Ankle - Orthobullets. Summary. A Lisfranc injury is a tarsometatarsal fracture dislocation characterized by traumatic disruption between the articulation of the medial cuneiform and base of the second metatarsal. Diagosis is confirmed by radiographs which may show widening of the interval between the 1st and 2nd ray.
The 2022 edition of ICD-10-CM S93. 326A became effective on October 1, 2021. This is the American ICD-10-CM version of S93.
326A 838.03.
A Lisfranc fracture is a type of broken foot. The Lisfranc joint is the spot on top of your foot where the metatarsal bones (the bridges to your toes) connect to the rest of your foot. This is a complicated area of your foot.
A Lisfranc injury is a fracture and/or dislocation of the midfoot that disrupts one or more tarsometatarsal joints. Diagnosis is by x-rays and often CT. Treatment requires referral to an orthopedic surgeon and usually open reduction with internal fixation (ORIF) or sometimes fusion of the midfoot.
The MT fractures are also treated by ORIF by separate incisions. CPT code 28615 would be reported for the fixation of the dislocation.
The Lisfranc ligament is a large band of plantar collagenous tissue that spans the articulation of the medial cuneiform and the second metatarsal base. 4,6,7. While transverse ligaments connect the bases of the lateral four metatarsals, no transverse ligament exists between the first and second metatarsal bases.
Chopart's fracture–dislocation is a dislocation of the mid-tarsal (talonavicular and calcaneocuboid) joints of the foot, often with associated fractures of the calcaneus, cuboid and navicular.
The midfoot joint complex is also called the Lisfranc joint. It is named after French surgeon Jacques Lisfranc de St. Martin, who served as a surgeon in the Napoleonic army in the 1800s on the Russian front. He became well known for his proficiency in foot surgery.
The midfoot is the middle region of the foot, where a cluster of small bones forms the arch on the top of the foot. From this cluster, five long bones (metatarsals) extend to the toes. The bones are held in place by strong ligaments, known as the Lisfranc joint complex, that stretch both across and down the foot.
The tarsometatarsal joint is an articulation (Lisfranc joint) that consists of the three cuneiforms and the cuboid as they join with the five metatarsals. Transverse ligamentous supports span the base of the metatarsals with the exception of the first and second metatarsals.
The tarsometatarsal joints involve the first, second and third cuneiform bones, the cuboid bone and the metatarsal bones. The eponym of Lisfranc joint is 18th-19th century surgeon and gynecologist, Jacques Lisfranc de St. Martin.
Metatarsophalangeal dislocations are rare injuries and usually occur in dorsal direction [1,2]. Dislocations of the great toe metatarsophalangeal joint are more common than the lesser toes [1]. Irreducible dislocation of fifth metatarsophalangeal joint is extremely rare and only one case have been reported [3].