![]() If you think you may have suffered a Lisfranc injury, give us a call today so that we can successfully diagnose and treat your problem. 4 Traditionally, arthrodesis of the midfoot was seen as a. 3 The generally accepted two operative techniques generally accepted are open reduction and internal fixation (ORIF) and primary arthrodesis (PA). 1,2 To date, it is unclear what the best operative treatment is for unstable Lisfranc injuries. If you think that you may be suffering from a Lisfranc injury, or youre looking for a physiotherapist near me, our team at Vitalis Physiotherapy can assess. The podiatrists at the Beltsville Foot & Ankle Center have extensive experience with, and successfully treated many cases of Lisfranc injuries. Surgeons face a major challenge when treating patients with Lisfranc injuries. ![]() The success rate for surgery on these types of injuries is generally very high, and with approximately 6 months of rehabilitation to help stabilize and strengthen the foot, most patients are usually pain free and back on their feet returning to previous activities. The only treatment option is surgery to repair the ligament (and fractures if present) for professional athletes and the general population alike. Citation, DOI, disclosures and article data. Left untreated it will cause chronic pain, instability, and arthritis. This may happen with a simple twist and fall on top of a foot that is pointing downward. Lisfranc injuries can be successfully diagnosed with an x-ray or MRI. Lisfranc joint injuries occur from trauma to the foot. The Lisfranc joint is the tarso-metatarsal joint which attaches the long bones of the forefoot to the midfoot.Īny fracture of the bones of the joint or tear in the ligaments that hold it together cause the foot to become unstable. This ligament is so strong it is more likely that it will pull a small piece of bone from either of the bones it connects than to tear. The Lisfranc Ligament attaches the base of the 2nd metatarsal bone to the 1st metatarsal and the medial cuneiform. Below is a video of Santonio Holmes injury.Ī Lisfranc injury is a very painful injury of the foot that involves 5 joints across the middle of the foot and a very strong ligament. We have treated several such injuries at the Beltsville Foot and Ankle Center and continue to see patients come in to our office with similar conditions. These types of injuries are commonly seen in competitive sports, however Lisfranc injuries due to falling are most commonly seen in the elderly. Lisfranc injuries usually occur due to high velocity forces like a fall from a height or a blow to the foot with the foot planted and/or the ankle plantar-flexed (on tip-toe) by twisting the foot as in Santonio’s injury. In the 4th week of the 2012 football season New York Jets player Santonio Holmes sustained an injury to his foot in a non-contact play that resulted in a touchdown by the opposing team when he fell to the ground fumbling the football.Ī review of the film does not immediately give away what happened to Holmes, but if you watch closely you can see that the left foot was planted as his lower leg moved forward over his foot creating great tension over the Lisfranc joint, which is on top of the foot in front of the ankle joint, and possibly a dislocation or fracture. It does not store any personal data.Santonio Holmes in his college days at the Ohio State University. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. forefoot abduction-type injuries where the hindfoot is fixed and there is rotation around. Injury mechanisms are varied and include: direct crush injury or an indirect load onto a plantarflexed foot 3. This cookie is set by GDPR Cookie Consent plugin. The Lisfranc ligament complex is particularly vulnerable due to the absence of transverse ligaments stabilising the 1 st and 2 nd metatarsals. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". ![]() These cookies ensure basic functionalities and security features of the website, anonymously. ![]() Necessary cookies are absolutely essential for the website to function properly.
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