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This guide covers the anatomy and examination of Lisfranc injuries and tarsometatarsal dislocations. It emphasizes the importance of weight-bearing X-rays (AP, lateral, and oblique views) for accurate diagnosis and differentiation from stable midfoot sprains. Recommendations include comparative imaging if needed and possibly repeating weight-bearing X-rays if no positional changes occur. Management strategies may involve the use of a moon boot where necessary, with an expectation of activity-related symptoms for up to six months. Surgical options like CT or ORIF are discussed for long-term care.
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“Stable Midfoot sprain”Normal WeightbearingXrays Comparative if need be Repeat weightbearingXrays with no change in position WBAA Moonboot if required Expect activity related Sx for 6 mths