Lisfranc injury
A Lisfranc injury, sometimes referred to as a Lisfranc fracture, is a type of foot injury that involves a displacement or fracture of one or more of the metatarsal bones from the tarsus, a cluster of seven articulating bones in each foot situated between the lower end of the tibia and fibula of the lower leg and the metatarsus. It is a serious injury that can affect a person's mobility and quality of life.
Historical Background[edit | edit source]
The injury is named after Jacques Lisfranc de St. Martin (2 April 1790-13 May 1847), a French surgeon and gynecologist. Lisfranc first documented this type of injury in 1815, when he observed the fracture pattern among cavalrymen during the War of the Sixth Coalition. The injury often occurred when riders fell from their horses but their feet remained stuck in the stirrups.
Clinical Presentation[edit | edit source]
Lisfranc injuries can vary from simple to complex, involving many joints and bones in the midfoot. A patient with a Lisfranc injury may experience symptoms such as swelling and pain at the top of the foot, inability to bear weight, bruising on the bottom of the foot, and tenderness to touch.
Diagnosis[edit | edit source]
A physical examination, along with imaging tests such as X-rays, CT scans, or MRI, are typically used to diagnose Lisfranc injuries. The key to a successful outcome is early detection and treatment. However, due to the complexity of the midfoot anatomy and the subtle nature of some Lisfranc injuries, these injuries are often missed on initial evaluation.
Treatment[edit | edit source]
Treatment of a Lisfranc injury depends on the severity of the injury. Non-displaced injuries can often be treated non-operatively with casting and non-weight bearing. Displaced injuries often require surgery to realign the joints and restore the normal foot anatomy. Surgery typically involves internal fixation with screws and plates, and in some cases, fusion of the affected joints.
References[edit | edit source]
See also[edit | edit source]
| Lisfranc injury Resources | |
|---|---|
|
 |
Search WikiMD
Ad.Tired of being Overweight? Try W8MD's physician weight loss program.
Semaglutide (Ozempic / Wegovy and Tirzepatide (Mounjaro / Zepbound) available.
Advertise on WikiMD
|
WikiMD's Wellness Encyclopedia |
| Let Food Be Thy Medicine Medicine Thy Food - Hippocrates |
Translate this page: - East Asian
中文,
日本,
한국어,
South Asian
हिन्दी,
தமிழ்,
తెలుగు,
Urdu,
ಕನ್ನಡ,
Southeast Asian
Indonesian,
Vietnamese,
Thai,
မြန်မာဘာသာ,
বাংলা
European
español,
Deutsch,
français,
Greek,
português do Brasil,
polski,
română,
русский,
Nederlands,
norsk,
svenska,
suomi,
Italian
Middle Eastern & African
عربى,
Turkish,
Persian,
Hebrew,
Afrikaans,
isiZulu,
Kiswahili,
Other
Bulgarian,
Hungarian,
Czech,
Swedish,
മലയാളം,
मराठी,
ਪੰਜਾਬੀ,
ગુજરાતી,
Portuguese,
Ukrainian
Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates Wikipedia, licensed under CC BY SA or similar.
Contributors: Prab R. Tumpati, MD
