Lisfranc Injury

Overview

A Lisfranc injury refers to damage to the midfoot, where the metatarsal bones connect with the tarsal bones, forming the arch of the foot. This injury can involve fractures, ligament tears, or joint dislocations, leading to instability and pain in the midfoot. It is a severe condition that can significantly impact mobility and quality of life if left untreated.

Introduction

The Lisfranc joint complex plays a critical role in maintaining foot stability and distributing weight during activities like walking or running. Injuries to this area are relatively uncommon but often misdiagnosed, leading to delayed treatment. In India, the prevalence of Lisfranc injuries is increasing due to rising participation in sports and a surge in road traffic accidents. Early diagnosis and timely management are crucial for preventing long-term complications, such as chronic pain or arthritis.

Symptoms

The symptoms of a Lisfranc injury can vary in intensity depending on the severity of the damage. Common signs include:
– Midfoot Pain: Persistent or worsening pain in the middle of the foot, especially during weight-bearing activities.
– Swelling and Bruising: Visible swelling and bruising on the top or bottom of the foot.
– Inability to Bear Weight: Difficulty standing or walking due to severe discomfort.
– Visible Deformity: In severe cases, noticeable misalignment or a change in foot shape.
– Tenderness: Pain when pressing on the midfoot area.

Causes

A Lisfranc injury can result from various traumatic and non-traumatic events, including:
1. Direct Trauma: High-impact injuries from accidents or falls.
2. Sports Injuries: Twisting or excessive force on the midfoot during activities like football, gymnastics, or basketball.
3. Missteps: Accidental twisting or slipping, particularly when stepping off a curb or into an uneven surface.
4. Crush Injuries: Heavy objects falling on the foot.

Treatment

Treatment for a Lisfranc injury depends on the severity of the damage and may include:

– Non-Surgical Treatments:
– Immobilization: Using a cast or walking boot to protect the foot and promote healing in mild cases.
– Rest and Elevation: Reducing activity levels and keeping the foot elevated to minimize swelling.
– Medications: Pain relievers and anti-inflammatory drugs to manage discomfort.

– Surgical Treatments:
– Internal Fixation: Using screws or plates to stabilize fractured or dislocated bones.
– Fusion Surgery: In cases of severe damage, fusing the bones of the midfoot to restore stability.

Rehabilitation plays a crucial role post-treatment, with physiotherapy focusing on restoring mobility, strength, and function.

Prevention and Risk Factors

Prevention Strategies:

– Proper Footwear: Wearing well-fitted shoes that provide adequate arch support during physical activities.
– Sports Safety: Using protective gear and practicing proper techniques in sports.
– Caution in Daily Activities: Avoiding uneven surfaces and being mindful of sudden movements that could twist the foot.

Risk Factors:

– Participation in high-impact sports.
– Jobs involving heavy lifting or exposure to crush injuries.
– Poor foot biomechanics or existing foot deformities.
– Lack of awareness and delayed diagnosis.

Insights from Sancheti Hospital

At Sancheti Hospital, we offer comprehensive care for Lisfranc injuries, combining advanced diagnostic tools with personalized treatment plans. Our team of orthopaedic specialists, supported by skilled physiotherapists, ensures a multidisciplinary approach to recovery. From accurate diagnosis using imaging techniques to state-of-the-art surgical interventions, we prioritize patient outcomes and mobility restoration.

With a legacy of excellence in orthopaedic care, Sancheti Hospital remains a trusted name for treating foot and ankle injuries, helping patients return to their daily activities with confidence and ease.