This should not cause pain in your uninjured foot. The doctor may grasp your heel and twist the front of your foot to determine whether there is pain at the midfoot. Pain with a stress examination of the midfoot.Tenderness to pressure (palpation) along the midfoot.This suggests a complete tear of the midfoot ligaments or a midfoot fracture. Bruising along the bottom of your foot.Specific things your doctor will look for include: Although some of the physical tests the doctor will perform may be painful, none of them will make the injury worse. Running Assessment With Stride EvaluationĪfter talking with you about your symptoms and discussing your concerns, your doctor will examine your foot and ankle.Ganglion Cyst And Other Soft Tissue Surgery.Xiaflex Hand Injection For Depuytren Contracture.Shoulder Instability & Capsular Tightening.Anterior/Posterior Total Hip Replacement.Further surgery can be successful in eradicating the arthritic pain by fusing the joints with a MIDFOOT FUSION. In severe injuries unfortunately the damage can lead to wear and tear in the joints even after surgery. The metalwork can be prominent on the foot and removed, in fact many surgeons take the metal out as routine after 4 months. Return to full activity can take over 5 months, whether an amateur or a professional athlete. Initial plaster casting is worn for 6 weeks and then depending on the severity of injury a boot may be required for a further 6 weeks. Long-term insoles, especially in sports can be worn to good effect after initial treatment. In the less severe or stable fractures, where on scans the bones are in their normal anatomical positions, they can be treated non-operatively with non-weight bearing in a plaster or boot for about 6 weeks. If the bones heal in the wrong position chronic foot pain and arthritis at the Lisfranc joint can be a future problem. Operative treatment fixing with plates or screws on the top of the foot is usually advocated for more severe or unstable injuries, where the bones have moved apart form their normal position at the level of the Lisfranc joint. How is a Lisfranc fracture normally treated? Often a CT (computerised tomography) is done also to further assess the fracture or injury pattern. How is a Lisfranc injury accurately diagnosed?Īn accurate clinical assessment by an Orthopaedic foot and ankle surgeon is vital. Referral for urgent and accurate clinical assessment with an X-Ray is important. If in doubt as to whether you have this injury you are advised to keep your foot elevated and avoid walking on it if possible. What should you do if you suspect an injury? Bruising can become rapidly apparent on the foot. It is usually very uncomfortable to walk on the foot. The middle of the foot can swell quite dramatically. They can occur due to crush injury on the foot or trapping part of the foot while the rest of the foot twists. They are increasingly seen in athletes with forced twisting or crush injuries but can even occur from a simple stumble on uneven ground or slip of a step. Virtually any mechanism can lead to this fracture. Thankfully the modern Lisfranc fracture is nothing to do with an amputation! What sort of accident or injury can cause a LisFranc fracture? It is so-called because Jacques Lisfranc de St Martin, a French surgeon during the Napelonic wars, originally described a wartime amputation through this part of the foot. Lisfranc Fracture What is a Lisfranc fracture?Ī LisFranc fracture is a fracture or dislocation in the Lisfranc joints.
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