Other Midfoot Dislocations

While Lisfranc fracture-dislocations are the most common dislocations involving the midfoot, other isolated dislocations can occur. These injuries are far less common, especially those without significant concomitant fracture. Appropriate management is based on proper identification of the injury followed by appropriate treatment. Operative management is often required to obtain and maintain concentric, anatomic joint reduction. Fixation is required when instability persists. Soft tissue injuries must be addressed and they often impact timing of operative intervention. Knowledge of the anatomy as well at the joint function is necessary as mobile joints require temporary fixation. Fusion should be reserved for nonessential joints and salvage situations.