Classification of Hardcastle et al for Functional Outcome After Tarsometatarsal Injury

Hardcastle et al classified outcome following tarsometatarsal injury (Lisfranc injury). The authors are from Landeskrankenhaus in Graz, Austria.

Parameters:

(1) residual pain

(2) ability to stand on tip-toe

(3) gait

(4) deformity

(5) radiologic features

Outcomes:

(1) good

(2) fair

(3) poor

Parameters	Good Outcome	Fair Outcome	Poor Outcome
residual pain	none or trivial	mild to moderate pain	severe pain
standing tip-toe	able	difficult	unable
gait	normal	limp	poor
deformity	none	minimal to mild	present
X-ray	normal or minimal degeneration	mild degeneration	moderate to severe degeneration

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