{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:43:36Z","timestamp":1777877016864,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,2,26]],"date-time":"2013-02-26T00:00:00Z","timestamp":1361836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lisfranc joint injuries are fairly uncommon; however, few injuries hold such an elevated potential for devastating chronic secondary pain and disability. It is imperative when evaluating an injury to the ankle or foot to have a high clinical index of suspicion for Lisfranc injury, as physical examination findings are often subtle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>An 18-year-old military cadet reported to a direct-access sports physical therapy clinic with foot pain. Despite negative radiographic findings, there was a high suspicion for Lisfranc injury based on the injury mechanism and physical examination. A computed tomography scan demonstrated an oblique fracture through the base of the third metatarsal, a small marginal fracture at the plantar base of the second metatarsal, and a subtle diastasis. Two days following his injury, he underwent an open reduction and internal fixation, completed subsequent rehabilitation, and returned to full activity approximately 1 year following injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Early diagnosis of Lisfranc injuries is imperative for proper management and prevention of a poor functional outcome. If a strong clinical suspicion exists, negative radiographic findings are insufficient to rule out a Lisfranc injury, and therefore, advanced imaging is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1941738113477991","type":"journal-article","created":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T06:11:08Z","timestamp":1361945468000},"page":"281-285","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Lisfranc Injury in a West Point Cadet"],"prefix":"10.1177","volume":"5","author":[{"given":"Angela R.","family":"Diebal","sequence":"first","affiliation":[{"name":"US Army\u2013Baylor University Post Professional Sports Medicine\u2013Physical Therapy Doctoral Residency, West Point, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard B.","family":"Westrick","sequence":"additional","affiliation":[{"name":"US Army\u2013Baylor University Post Professional Sports Medicine\u2013Physical Therapy Doctoral Residency, West Point, New York"},{"name":"Regis University Orthopedic Manual Physical Therapy Fellowship, Denver, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Curtis","family":"Alitz","sequence":"additional","affiliation":[{"name":"Keller Army Community Hospital, West Point, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Parry","family":"Gerber","sequence":"additional","affiliation":[{"name":"US Army\u2013Baylor University Post Professional Sports Medicine\u2013Physical Therapy Doctoral Residency, West Point, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,2,26]]},"reference":[{"key":"bibr1-1941738113477991","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)32285-9"},{"key":"bibr2-1941738113477991","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870020-00003"},{"key":"bibr3-1941738113477991","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L00413"},{"key":"bibr4-1941738113477991","unstructured":"Bennett DL, Daffner RH, Weissman BN, Acute trauma to the foot. http:\/\/www.acr.org\/~\/media\/ACR\/Documents\/AppCriteria\/Diagnostic\/AcuteTraumaFoot.pdf. 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