3/1/2024 0 Comments Lisfranc injury treatmentLisfranc classifications are not useful in deciding the treatment or the prognosis of injury. Fracture of base of the 2nd metatarsal and compression fracture of the cuboid.Results from twisting injury causing forceful abduction of the forefoot.Tarsal fracture, especially a cuboid fracture. Check the aligment of the dorsum of the 2nd metatarsal with the middle cuneiform. Dorsal displacement of the 2nd metatarsal is more common. Results from axial loading or twisting on a plantar flexed midfoot. Indirect injuries: more common than direct injuries.Direct injuries: plantar displacement is more common.The dorsalis pedis artery and the deep peroneal nerve both run between the first and second metatarsal bases. Lateral: 4th &5th tarsometatarsal joints – mobile (this is why you do not fuse the 4th & 5th tarsometatarsal joints).Middle: 2nd & 3rd tarsometatarsal joints-rigid.Medial: 1st tarsometatarsal joints- first metatarsal joint- 6 degrees mobility.Tarsometatarsal joint complex is divided into three units: Osseous stability is provided by the roman atch of the metatarsal and the recessed keystone of the 2nd metatarsal base. The Lisfranc ligament stabilizes the 2nd metatarsal and maintains the midfoot arch. The Lisfranc ligament is a large oblique ligament that extends from the plantar aspect of the medial cuneiform to the base of the second metatarsal. In general, ligamentous injury does worse than fractures. Arthrodesis is better in cases of purely ligamentous injury. Lisfranc injury could be purely ligamentous or can be associated with fractures. Lisfranc injury may be associated with compartment syndrome. May need weight bearing films for diagnosis of Lisfranc injury. A high index of suspicion is needed to prevent progression of the foot deformity, chronic pain and dysfunction. It could be due to apparent sprain, obvious injury or severe dislocation.ĭiagnosis is missed in about 25-30% of cases especially in multiple trauma patients. Lisfranc injuries are a spectrum of injuries of the tarsometatarsal joints. Lisfranc injury indicates disruption between the base of the 2nd metatarsal and the medial cuneiform. Ebraheim's animated educational video describing Lisfranc injury. A physical therapist will create a treatment plan to help you restore your foot’s strength.Dr. Moreover, the final stage in your non-surgical treatment plan will generally involve physiotherapy. ![]() They will help you heal without you re-injuring your foot. If you need to keep your weight off your foot, you should consider using a mobility aid. Usually, you will need to keep your weight off the hurt foot for 6 weeks while your Lisfranc foot injury heals. Those with a Lisfranc foot injury should consider using anti-inflammatory medicines.Īdditionally, those with a minor Lisfranc foot injury might need to keep weight off the injury. For pain management, some people need to use pain medication. Sometimes the RICE method does not work on its own. Following this treatment method will reduce swelling around the midfoot and the pain. This method involves resting, icing, and elevating one’s foot. You will likely need to follow the RICE treatment method. The treatment procedures for a slight Lisfranc foot injury is like how a doctor would tell you to treat a sprain. In this case, you probably won’t need surgical intervention. If you have not broken a bone or torn your Lisfranc ligament, you likely have a minor injury. Many believe that they have been making progress. Foot and ankle specialists are looking at ways to diagnose this type of foot injury better. Yet, in recent years Lisfranc injury diagnosis practices have been receiving in-depth study. This is because the signs of injury are very subtle during examination and imagining. That’s why you must seek out a healthcare specialist if you believe you are suffering from this type of injury.Ĭurrently, trying to diagnose a Lisfranc injury can be tricky. ![]() Some of these implications include foot deformities, osteoarthritis, and chronic pain. This can have severe repercussions and long-term implications. Often those who aren’t foot and ankle specialists miss this type of injury. Moreover, these injuries are commonly missed at an initial consultation. ![]() According to health care experts, Lisfranc injuries only affect every 1 in 55,000 to 60,000 globally each year.Īdditionally, approximately 30 percent of Lisfranc injuries are missed by healthcare providers. This is because Lisfranc injuries are relatively rare. It’s likely that before reading this article, you were not aware of what a Lisfranc injury was.
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