![]() The middle cuneiform is recessed, allowing the second metatarsal base to lock into the joint in a mortise configuration.The cuneiforms and metatarsal bones have trapezoidal configurations, with the second metatarsal base in the middle cuneiform serving as the keystone of the transverse arch, much like a Roman arch.Important features of the boney anatomy include: The bony structure of the midfoot is composed of joints of the wedge-shaped metatarsal bones that extend out toward the toes with their corresponding cuneiform bones. This can lead to increased stress across the midfoot joints which can result in both collapses of the arch and arthritis. As a result, the cartilage that covers the end of the bones in the joints can be damaged. These high-energy injuries can cause multiple fractures and dislocations of the joints. More severe injuries often occur from direct trauma, such as a fall from height or a car accident. ![]() This is commonly seen in football and soccer players, but can also happen if someone stumbles over the top of a flex foot during everyday activities. Low energy injuries can happen with a simple twist or fall. The midfoot joints (Lisfranc joints) can be injured with both low and high energy injuries. It is an injury that often requires surgery and may take many months to heal. However, a Lisfranc injury is very different than a simple sprain and should not simply be walked off. A Lisfranc injury is often misdiagnosed as a simple sprain, especially if the injury is a result of a straightforward injury such as a twist or fall. The severity of the injury can vary significantly from tearing a single ligament too complex, involved in many joints and bones in the midfoot. Lisfranc injuries are the result of bones in the midfoot that is broken or ligaments that support the midfoot that is torn. Elton’s website.Lisfranc Injury Causes, Treatments & Surgery What are Lisfranc Injuries? Schedule your appointment today by calling (970) 476-7220 or request a consultation via Dr. Elton and his team will work with you to diagnose your issue and get you back on your feet! Elton is a Harvard-trained, patient-focused orthopaedic foot and ankle expert practicing in Eagle and Summit County. If you are experiencing pain or discoloration in the midfoot, contact Team Elton today!ĭr. Elton will discuss all treatment options with the patient, working with them to design a customized recovery plan that fits their lifestyle. The goal of Lisfranc surgery is to realign the joints, return the bones to a normal position, and get the patient back to the activities they love. Elton may then discuss foot fusion as an alternative treatment plan. ![]() In rare cases, the Lisfranc injury is so severe that the damage cannot be repaired. This hardware may be removed at a later date. Elton will reposition the bones correctly and hold the foot in proper alignment in place with screws or plates. This is typically done as an internal fixation. Surgery for a mild Lisfranc injury, such as a sprain, is rare, but if bones in the joint are dislocated or broken, surgery may be required to reverse the damage. Nonsurgical treatment for a Lisfranc Injury includes: Elton and his team will only recommend surgery if the injury is unable to be treated conservatively. Treatment for a Lisfranc injury depends on the severity of the patient’s condition. Part of this process could include physical manipulation of the foot or imaging tests, such as an X-ray or MRI. Elton and his team at Vail-Summit Orthopaedics & Neurosurgery will formally diagnose your condition. Treating a Lisfranc InjuryĪfter discussing your medical history, symptoms, and examining the injured area, Dr. If left untreated, a Lisfranc injury could lead to further orthopaedic issues down the line, including a collapsed arch and arthritis of the midfoot. No matter what type of Lisfranc injury you have, it’s important to have an orthopaedic foot expert examine and formally diagnose the issue. The majority of Lisfranc injuries affect the cartilage, which is what allows the joints in the midfoot to move smoothly. While the Lisfranc ligament can be sprained, the area can also: This could be a direct (car accident or something falling onto the foot) or indirect (twisting the foot or stumbling) impact, and can often be mistaken for a simple sprain.īlistering in the arch or top of the foot ![]() Injuries to the Lisfranc joint are usually the result of a forceful impact. The Lisfranc joint is a critical part of the midfoot, which works to stabilize your gait and the structure of your arch.
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