From: Inconsistent radiographic diagnostic criteria for lisfranc injuries: a systematic review
Quality of evidence assessment | No. of patients diagnosed (% total injuries) | Overall quality of evidence | Importance | ||||||
---|---|---|---|---|---|---|---|---|---|
No. of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | |||
M1-M2 diastasis | |||||||||
18 | Case series, Retrospective | Moderate | Seriousa | Not serious | Not serious | None | 468 (42.0) | Moderate | Important |
C2-M2 subluxation | |||||||||
11 | Case series, Retrospective | Moderate | Not serious | Not serious | Not serious | None | 562 (50.4) | High | Critical |
C1-M2 diastasis | |||||||||
8 | Case series, Retrospective | Moderate | Seriousa | Not serious | Not serious | None | 377 (33.8) | Moderate | Moderate |
C3-M3 subluxation | |||||||||
7 | Case series, Retrospective | Moderate | Not serious | Not serious | Not serious | None | 372 (33.3) | Moderate | Moderate |
Longitudinal arch height | |||||||||
7 | Case series, Retrospective | Moderate | Not serious | Not serious | Not serious | None | 297 (26.6) | Low | Low |
Cuboid-M4 subluxation | |||||||||
7 | Case series, Retrospective | Moderate | Not serious | Not serious | Not serious | None | 392 (35.2) | Moderate | Moderate |
Talometatarsal angle | |||||||||
7 | Case series, Retrospective | Moderate | Not serious | Not serious | Not serious | None | 260 (23.3) | Low | Low |
Medial column malalignment (C1-M1) | |||||||||
6 | Case series, Retrospective | Moderate | Not serious | Not serious | Not serious | None | 397 (35.6) | Moderate | Moderate |
Cuneiform-metatarsal malalignment | |||||||||
6 | Case series, Retrospective | Moderate | Not serious | Not serious | Not serious | None | 345 (30.9) | Moderate | Moderate |
Fleck sign | |||||||||
6 | Case series, Retrospective | Moderate | Seriousb | Not serious | Not serious | None | 110 (9.87) | Very low | Low |
Notch sign | |||||||||
1 | Retrospective | Low | Not serious | Not serious | Not serious | None | 36 (3.22) | Very low | Low |