الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Tarsometatarsal injuries are relatively uncommon injuries but with increasing motor vehicle use their incidence may be increasing. Lisfranc injuries are sometimes easily missed especially if they present in a subtle form,missed injuries can lead to chronic pain, deformity and disability and this can be avoided by having a high index of suspicion for these injuries. proper radiographic interpretation of the foot is the key to diagnosis. Knowledge of the normal anatomical relationships at the Lisfranc joint is vital to radiographic interpretation. The suspicion of anomalies in X-ray images should suggest further radiological investigation in the form of weight bearing x-rays, CT scan or MRI of the foot. The attempt to rule out Lisfranc injury should be made in cases of soft tissue edema persisting in the foot after 10 days of trauma.Anatomic reduction and stabilization are essential for achieving a satisfactory outcome.Precise restoration of the congruity and functional relationship involving the respective metatarsals and adjoining lesser tarsus is paramount,many of the recent literature suggests ORIF as the standard of care.Screw and k/w fixation remain the traditional fixation technique.Further studies are required to evaluate the technique and principle of minimally invasive extra-articular fixation and using absorbable implants for fixation of tarsometatarsal injuries and to compare them to existing methods of fixation.