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Patient presents for treatment of a left Lisfranc fracture dislocation. There are no more messages in this thread. Diagnosis is confirmed by radiographs which may show widening of the interval between the 1st and 2nd ray. 2005 Jun;26(6):462-73. doi: 10.1177/107110070502600607. CPT Code Description 28555 Open treatment of tarsal bone dislocation, includes internal fixation, when performed 28615 Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed 28645 Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed 28675 Open treatment of interphalangeal joint . TMT joint injuries can be difficult to diagnose. The tarsometatarsal joint is a complex joint in the midfoot that attaches the tarsal bones to the metatarsal bones. In walking or running, the midfoot transfers the forces that the calf muscles generate to the front of the foot. SlatePro-Bk The anatomy of the foot is quite complicated. This article also looks at foot care tips. Kapoor C, Patel A, Jhaveri M, Golwala P. Post-traumatic arthritis of the tarsometatarsal joint complex: a case report. Can he use the E/M codes to [], " Question: The orthopedist's operative report for a patient with a peroneus brevis tendon tear [], Question: Which code should we bill when the orthopedist performs a plantar fascia release? The result was satisfactory. Based on its shape, size, and strong peripheral ligaments, the first tarsometatarsal joint should provide stability. Additionally, stability is gained through the dynamic tension of its tendon attachments of the peroneal longus and anterior tibial tendon. Is the ketogenic diet right for autoimmune conditions? Morphologic analysis of the 1st and 2nd tarsometatarsal joint articular surfaces. xmp.did:0a8a9f0e-a373-4c07-9746-79c4ecc46d33 Injuries to the tarsometatarsal joint are sometimes called Lisfranc injuries. If either test causes any pain in the midfoot area, this indicates TMT joint damage. They can cause severe long-term morbidity if not appropriately treated. Tarsometatarsal Joint or Lisfranc Joint Injuries. Tarsometatarsal Arthrodesis for Lisfranc Injuries. TMT joint pain can be a sign of injury. (b) Post-operative anteroposterior (AP) projection. Without treatment, arthritis may develop or the arch of the foot may collapse. Adobe InDesign CC 14.0 (Macintosh) 2019-01-09T11:53:58.000-05:00 You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site.