18. February 2015 12:14
A Lisfranc injury can be defined as damage to the bones, ligaments and tissues connecting the forefoot and the mid-foot. Although it a rare condition, Lisfranc injury can lead to many significant problems if not treated in time.
Lisfranc injuries can mainly be divided into three categories:
- Fractures: A crack or break in the tarsal or metatarsal bones in the Lisfranc joint can be an avulsion fracture (a part of the bone tears off) or an open fracture.
- Sprains: It causes injury to the ligaments in the Lisfranc joint
- Dislocations: The bones in the Lisfranc joint may be forced to displace from their normal positions.
- Slip and fall accidents
- Automobile accidents
- Direct or indirect blow to the foot
- Something heavy falling on the foot
- Falling directly on the toes
- Playing contact sports
- Poor muscle strength and suppleness
- Swelling in the foot
- Inability to bear body weight
- Visible bruising or signs of injury in the mid-foot
- Pain in the middle of the foot while applying pressure
- Unusual broadening of the foot
- Numbness and tenderness
- Pain increases while walking or standing
Lisfranc injury is often mistaken for an ankle sprain and therefore, it is very important that it should be diagnosed properly. The orthopedic doctor may suggest certain imaging tests such as X-rays, CT scans and MRIs to evaluate the extent of the injury. He may also physically examine the foot to look for any bruising or swelling.
Depending upon the type and severity of the Lisfranc injury, the orthopedic doctor may recommend the following treatment options:
- RICE Approach: The patient should give rest to the affected foot, apply ice pack, compress with an elastic bandage and keep it elevated, above the hip level. It can help to ease pain in the mid-foot.
- Medications: The orthopedic doctor may prescribe certain non-steroidal anti-inflammatory medications to reduce the pain and inflammation caused due to the injury.
- Immobilization: The patient may also need to wear a cast to restrict the movement of the foot. Crutches may also be used to avoid putting weight on the foot while walking.
- Physical Therapy: Once the pain and inflammation have receded, physical therapy may help to restore the normal strength and flexibility of the foot.
Surgery might be recommended in severe cases of Lisfranc injury. During the procedure, the orthopedic surgeon restores the joints in their normal positions and secures the correct alignment of the foot.
For treatment of Lisfranc injury in Carrollton, TX, you can consult Dr. Heier. To schedule an appointment with the foot and ankle surgeon, you can call at (972) 492 – 1334.