Lisfranc ligament tear1/27/2024 ![]() ![]() The most important aspect of the radiographic evaluation is to obtain x-rays with the patient weight-bearing in order to ensure one can appreciate the full extent of the injury. Additionally, if a "fleck" or avulsion fracture is seen at the base of the second metatarsal or medial cuneiform, one should also consider a Lisfranc injury. In general, if the space between the first and second metatarsals is greater than 2 mm then a Lisfranc ligament injury should be considered. The primary focus of the x-ray is the space between the base of the first and second metatarsal bones, also known as the Lisfranc joint. The first step in the diagnosis is to obtain a set of x-rays looking at several aspects of the foot. An injury to this ligament can lead to instability of the arch of the foot and therefore chronic pain and disability with activities of daily living and sports participation. The classic injury occurs in offensive lineman as they are engaged with a defensive player and the running back falls on the heel of their teammate. In the athletic population, the injury usually occurs with a force directed through the foot while the ankle is in a plantarflexed position and the toes are extended (photo below). As with other ligaments such as in the ankle or knee, the Lisfranc ligament can be stretched, partially torn or completely torn, which directly relates to the extent of the injury. The Lisfranc ligament connects directly between the medial cuneiform and the second metatarsal (photo above). In basic terms, it is a sprain of the Lisfranc ligament, also known as the oblique interosseous ligament. Goshen Orthopedics offers Lisfranc injury treatment in Goshen, Elkhart, Middlebury and Nappanee, IN.A Lisfranc injury occurs secondary to disruption of a major stabilizing ligament of the arch of the foot. We work together to offer exceptional, compassionate care for a wide range of sports injuries in Elkhart County and beyond. ![]() Goshen Rehabilitation is located in the same building as our orthopedics and sports medicine center, and our teams coordinate scheduling to provide a seamless patient experience. After surgery, you will work with a physical therapist at Goshen Rehabilitation to regain strength and flexibility in your foot. Multiple Lisfranc fractures or dislocations may require orthopedic surgery. If your Lisfranc injury is mild, you need to avoid bearing weight on your foot for several weeks. We can also show you ways to prevent another foot injury. Your provider can determine the extent of the injury and recommend a personalized treatment plan to prevent deformity and future disability. An early diagnosis is important to successful treatment. ![]() If you suspect a midfoot soft tissue or bone injury, come to Goshen Orthopedics. Treatment for Lisfranc fractures, dislocations and more These symptoms are similar to those of a sprained foot so make sure you see one of our experienced sports medicine specialists for a correct diagnosis. Bruising, especially on the bottom of the foot.Midfoot (arch) pain, especially pain that gets worse when you try to bear weight on the affected foot.You may notice Lisfranc injury symptoms such as: Landing awkwardly when stepping off a curb.Falling or jumping and landing on your feet.Twisting the foot while playing soccer or football.Midfoot injuries occur from movements as such: Lisfranc injuries are usually related to trauma, including both low and high-velocity accidents. ![]()
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