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LISFRANC FX FULL

A slip and twist to the foot while stepping off a curb.

football), where the toes are planted on the ground and the heel is loaded.

A twisting injury such as often occurs in sporting activities (ex.

This can occur via a number of mechanisms including:Clinical Presentation When this happens, the strong midfoot ligaments may partially or completely tear and sometimes the bones will break (Figure 1A and 1B). trip off a curb) or by another person (sports) or thing (car accident). Lisfranc injuries typically occur when the foot is pushed up and out and twisted under the load of body weight (ex. A displaced Lisfranc injury usually requires surgery to stabilize the injury followed by an extended period of recovery.

LISFRANC FX FULL

This involves 6 weeks or more of non-weight-bearing or limited weight bearing followed by a physical therapy program to regain full function. A stable injury to the midfoot, whereby these ligaments are injured (perhaps stretched or only partially torn) can be treated without surgery. These ligaments and bones must heal before normal walking can occur. During normal standing and walking, the ligaments of the midfoot experience forces that are 2-3 times body weight. Significant disruption of these midfoot ligaments (Figure 1), especially with additional breaking of the midfoot bones, can lead to pain, swelling, and inability to weight-bear. The classic story told is that this injury was seen when soldiers were knocked off of their horses with their feet caught in the stirrup. Martin who described an amputation through the foot where this injury happens.

It is named after the 19th century French surgeon Jaques LisFranc de St. The injured area is the junction between the midfoot and the forefoot (tarsometatarsal joint). A Lisfranc injury can involve any combination of fracture, joint dislocation, and/or injury to the stabilizing joint ligaments. It is sometimes referred to as a midfoot sprain and it is often has a lengthy recovery time -especially compared to the average ankle sprain. Midfoot Sprain Versus Lisfranc Injury (Midfoot Dislocation +/- Fracture)Įdited by Daniel Farber, MD Summary Watch Video: Lisfranc InjuryĪ Lisfranc injury is a significant injury that involves the midfoot.