FOREFOOT GREENLIGHT EXAM 2026-
2027 ACTUAL (2026) UPDATE 2026\2027
COMPLETE EXAM Questions With
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Where is the lisfranc joint? - ANSWERS-Spans the entire midfoot articulation with the
metatarsals
Supplemental internal brace fixation in intercuneiform joint creates a ______ stronger
construct across Lisfranc complex - ANSWERS-2x
For ligamentous injuries, fixation into medial cuneiform is comparable to - ANSWERS-
Using a cannulated screw
What two structures should you look out for in lisfranc fixation? - ANSWERS-Tibialis
anterior tendon, dorsalis pedis artery
What trajectory do you aim k wire for lisfranc mini tightrope? What direction do you pass
suture button? - ANSWERS-Lateral to medial, slightly plantar and inferior to tib ant
tendon; medial to lateral
What is the keystone conformation? - ANSWERS-Connection between 2nd met and
middle cuneiform that provides stability to lisfranc joint
What does the lisfranc ligament connect? - ANSWERS-Medial cuneiform to base of 2nd
met
, Three aspects of lisfranc ligament: - ANSWERS-Dorsal, interosseous, plantar
What makes up the lisfranc complex? - ANSWERS-1st and 2nd met & medial and
middle cuneiform
What type of injury typically causes instability and gapping between bones of lisfranc
complex? - ANSWERS-Axial load
Which column of the foot has the most flexibility? - ANSWERS-Lateral column
What type of lisfranc injuries do not require surgery? - ANSWERS-Nondisplaced and
stable
Lisfranc stability relies on ____ anatomy, while displacement relies on _____ anatomy -
ANSWERS-Ligamentous, bony
What is a downside of fixing/fusing lisfranc injury with screws? - ANSWERS-No
micromotion - they can break
What is a benefit of lisfranc ORIF with plates? - ANSWERS-Plate fixation maintains
stability without violating the articular surface
What is ligamentous lisfranc augmentation (mini tightrope, internal brace) typically
indicated for? - ANSWERS-Low energy injuries, mostly young adults and highly active
individuals
What is the gold standard for lisfranc injury fixation? - ANSWERS-Plates and screws
What % of all fractures are lisfranc injuries? - ANSWERS-0.2%