& FOREFOOT EXAM (2026)
QUESTIONS AND (Elaborated)
WITH COMPLETE SOLUTIONS
Where is the lisfranc joint? - 🧠 ANSWER ✔✔Spans the entire midfoot
articulation with the metatarsals
What is the keystone conformation? - 🧠 ANSWER ✔✔Connection between
2nd met and middle cuneiform that provides stability to lisfranc joint
What does the lisfranc ligament connect? - 🧠 ANSWER ✔✔Medial
cuneiform to base of 2nd met
, Three aspects of lisfranc ligament: - 🧠 ANSWER ✔✔Dorsal, interosseous,
plantar
What makes up the lisfranc complex? - 🧠 ANSWER ✔✔1st and 2nd met &
medial and middle cuneiform
What type of injury typically causes instability and gapping between bones
of lisfranc complex? - 🧠 ANSWER ✔✔Axial load
Which column of the foot has the most flexibility? - 🧠 ANSWER ✔✔Lateral
column
What mechanisms of injury occur with lisfranc pathology? - 🧠 ANSWER
✔✔Direct or indirect, high energy or low energy
What constitutes a direct injury? - 🧠 ANSWER ✔✔axial load with dorsal and
plantar forces
What constitutes an indirect injury? - 🧠 ANSWER ✔✔Plantarflexed foot with
axial load (heavy object falling on foot- tarsals shift anterior or posterior)
What is necessary to diagnose lisfranc injury? - 🧠 ANSWER
✔✔Weightbearing x-ray