EM Quick Hits Video on Lisfranc Injuries with Arun Sayal

Fleck sign for avulsion fracture in Lisfranc injury

• History and physical exam are keys to the diagnosis of Lisfranc injury
• Scrutinize x-rays with a keen eye, but avoid reliance on imaging; some Lisfranc injuries are radio-occult
• Displaced injury = unstable = operative management; undisplaced Lisfranc injuries – including ligamentous injuries – can also be unstable, so speak to your orthopaedic surgeon to help guide management

The Podcast: EM Quick Hits 21 TXA in GI Bleed, Pediatric DKA, POCUS for Shoulder Dislocations, Lisfranc Injuries, Dexamethasone for COVID Pneumonia, Consultation Tips