Lisfranc Injury

A Lisfranc injury is an injury of the midfoot that involves either a break to the bones and/or a strain to the ligaments that connect the midfoot to the forefoot.

Lisfranc Injury

A Lisfranc injury is an injury of the midfoot that involves either a break to the bones and/or a strain to the ligaments that connect the midfoot to the forefoot. Lisfranc injuries can result from direct trauma (i.e. a fall from a height) or from a twist-and-fall scenario, often seen when someone stumbles over the top of a foot that is flexed downward. Symptoms include swelling and pain to the top of the foot, bruising to the top and bottom of the foot, and pain worse with standing, walking or pushing off the affected foot. These injuries can be easily confused as a simple sprain, but given the location these injuries are considered severe and must be treated appropriately. If a Lisfranc injury is expected, your doctor may order advanced imaging to evaluate for any fractures or ligament tears. Nonsurgical treatment is always the goal and can sometimes be achieved if the injury is not severe and no fractures, joint dislocations, or complete ligamentous tears are present. A cast or boot would be applied and a strict non-weight bearing regimen for 6 weeks (or longer) would be enacted to allow proper healing. However, in most cases this injury requires surgical repair, often with screws and plates which would later need to be removed once the injury has fully healed.

Lisfranc Injury

Courtesy: www.aaos.org

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