Lisfranc Injury
What is it?
The Lisfranc joint is the point at which the metatarsal bones (long bones that lead up to the toes) and the tarsal bones (bones in the arch) connect. The Lisfranc ligament is a tough band of tissue that joins two of these bones. This is important for maintaining proper alignment and strength of the joint.
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Lisfranc injuries involve the displacement (or dislocation) of the metatarsal bones from the tarsus. The severity of the injury can range from simple to complex and may involve several joints and bones of the mid-foot. It is commonly misdiagnosed as a sprain, particularly if the mechanism of injury is a simple twist and fall.
What is the cause?
Injuries to the Lisfranc joint most commonly occur in automobile accident victims, military personnel, runners, horseback riders, football players and participants of other contact sports, or something as simple as missing a step on a staircase. Lisfranc injuries occur as a result of direct or indirect forces to the foot. A direct force often involves something heavy falling on the foot. Indirect force commonly involves twisting the foot.
Signs & Symptoms
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History of high energy trauma or sporting accident
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Swelling of the foot
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Pain throughout the midfoot when standing or when pressure is applied
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Inability to bear weight (in severe injuries)
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Bruising or blistering on the arch are important signs of a Lisfranc injury. Bruising may also occur on the top of the foot.
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Abnormal widening of the foot.
What can we do about it?
Lisfranc injuries are sometimes mistaken for ankle sprains, making the diagnostic process very important.If our therapist’s suspects a lisfranc injury, we will refer on for imaging. It is important that anyone who has symptoms of a Lisfranc injury should see a foot and ankle surgeon right away.Once diagnosed, a foot and ankle specialist will decide whether the injury requires an operation or it can be conservatively managed. The rehabilitation process will take place under the guidance of your specialist and our expert physiotherapists to get you back to sport stronger than ever.