{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T01:49:58Z","timestamp":1770515398545,"version":"3.49.0"},"reference-count":16,"publisher":"SLACK, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n            Professional National Football League (NFL) and rugby athletes have high rates of Lisfranc injuries. Although favorable return-to-play rates have been previously reported, a thorough assessment of postinjury performance is lacking. Professional NFL and rugby athletes who sustained a Lisfranc injury were identified using a well-established protocol confirmed by multiple sources of the public record. Return-to-play rate and time to return were determined for each athlete. League participation and game performance were collected 1 season prior to injury and up to 3 seasons after injury. Statistical analysis was performed, with\n            <jats:italic>P<\/jats:italic>\n            \u2264.05 being significant. A total of 47 athletes (NFL=35, rugby=12) with Lisfranc injuries were identified, having 23 ligamentous injuries and 24 fractures. Thirty-five (75%) were treated operatively. Among NFL players, 29 (83%) returned to play, taking 10.0\u00b12.9 months to do so. Overall, NFL players started fewer games 2 and 3 seasons following surgery (\n            <jats:italic>P<\/jats:italic>\n            =.002 and .035, respectively) and showed a significant decline in performance 1 season after return compared with preinjury levels (21%;\n            <jats:italic>P<\/jats:italic>\n            =.05). Offensive players had a significantly greater decline in statistical performance compared with defensive counterparts (\n            <jats:italic>P<\/jats:italic>\n            =.02). Although professional NFL athletes return to play at a high rate (83%) following Lisfranc injury, their league participation and performance is significantly decreased on return. Ligamentous and bony injuries have similar prognoses; however, offensive players show greater declines in performance compared with defensive players. To best guide therapy, players, coaches, and team physicians should be aware of the impact of Lisfranc injuries on career performance and longevity. [\n            <jats:italic>Orthopedics<\/jats:italic>\n            . 2018; 41(4):e479\u2013e482.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20180424-03","type":"journal-article","created":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T13:01:19Z","timestamp":1525093279000},"source":"Crossref","is-referenced-by-count":17,"title":["Performance-Based Outcomes Following Lisfranc Injury Among Professional American Football and Rugby Athletes"],"prefix":"10.3928","volume":"41","author":[{"given":"Sameer K.","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"George","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anish R.","family":"Kadakia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wellington K.","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716675293"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199307000-00007"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L00413"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.183.3.1830615"},{"key":"e_1_3_1_6_2","unstructured":"Blitz NM. NFL's Lisfranc's foot fracture epidemic: what's causing it? Huffington Post . October 12 2012. http:\/\/www.huffingtonpost.com\/neal-m-blitz\/nfls-lisfrancs-foot-fract_b_1961141.html. Accessed July 1 2017."},{"key":"e_1_3_1_7_2","unstructured":"The Center for Podiatric Care and Sports Medicine. The scourge of the NFL: examining Lisfranc injuries causes and treatment. http:\/\/healingfeet.com\/sports\/scourge-nfl-examining-lisfranc-injuries-causes-treatment. Published June 10 2014. Accessed July 1 2017."},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515616814"},{"issue":"12","key":"e_1_3_1_9_2","first-page":"557","article-title":"Midfoot sprains in the National Football League","volume":"43","author":"Osbahr DC","year":"2014","unstructured":"Osbahr DC, O'Loughlin PF, Drakos MC, Barnes RP, Kennedy JG, Warren RF. Midfoot sprains in the National Football League. Am J Orthop (Belle Mead NJ). 2014; 43(12):557\u2013561.","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516645082"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2010.12.009"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4060-y"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516651426"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738115608361"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515623028"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200011000-00015"},{"issue":"3","key":"e_1_3_1_17_2","first-page":"514","article-title":"Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study","volume":"88","author":"Ly TV","year":"2006","unstructured":"Ly TV, Coetzee JC. Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study. J Bone Joint Surg Am. 2006; 88(3):514\u2013520.","journal-title":"J Bone Joint Surg Am"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20180424-03","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T05:40:08Z","timestamp":1683092408000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20180424-03"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.3928\/01477447-20180424-03"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20180424-03","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7]]}}}