1,9 This position can also be used to assess passive pronation with abduction of the forefoot. The metatarsals are grasped, and passive dorsiflexion and plantar flexion is performed at the tarsometatarsal joint. Pain is a positive result, which is considered specific for tarsometatarsal injuries. Passive pronation with abduction of the forefoot, while the hindfoot is held still.Pain or a palpable click is suggestive of a Lisfranc injury. Compression across the width of the foot to stress the space between the first and second metatarsals (Figure 4).Mid-foot compression with dorsal and plantar flexion of the first metatarsal head relative to the second metatarsal head.
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