Key Points about Lisfranc injury
- A Lisfranc injury affects the midfoot, involving bones or ligaments where the metatarsals bones connect to the tarsal bones.
- It can range from mild ligament sprains to severe fractures and dislocations.
- It’s usually caused by trauma or twisting injuries, especially in athletes or during accidents.
- Quick diagnosis and treatment are crucial to prevent long-term complications like arthritis or chronic pain.
- Treatment may involve rest and immobilization or surgery, depending on how severe the injury is.
Common related conditions
Lisfranc injury causes
- Direct trauma (like a heavy object falling on your foot)
- Twisting injuries from falls or sports activities
- Car accidents
- Missteps, especially while the foot is flexed
Lisfranc injury risk factors
- Playing high-impact sports like football, soccer or gymnastics
- Wearing improper or unsupportive footwear
- Activities involving sudden direction changes or jumping
- Bone-weakening conditions like osteoporosis
Lisfranc injury symptoms
- Pain in the midfoot, especially when standing or walking
- Swelling and bruising on both the top and bottom of the foot
- Inability to bear weight on the injured foot
- A popping sensation or visible deformity in the midfoot
Lisfranc injury diagnosis
- Physical exam by a doctor to assess swelling, tenderness and foot alignment
- X-rays to detect fractures or dislocations
- CT scan or MRI for detailed imaging of bones and soft tissues
- A stress tests may be done to assess joint stability
Lisfranc injury treatment
- Mild cases: Rest, ice, elevation and a cast or boot
- Severe cases: Surgery to realign and stabilize the bones, often with screws or plates
- Physical therapy may follow to restore strength and mobility
- Recovery time can range from weeks to several months depending on severity
When to Seek Care
- If you experience midfoot pain after a fall or injury
- You aren’t able to put any weight on your foot
- You have noticeable swelling, bruising or a deformity in the midfoot
- There’s pain that doesn’t go away with rest and basic care