Detecting Lisfranc Injuries

Chances are, if you haven’t had a Lisfranc injury you don’t even know what the Lisfranc is! Lisfranc refers to the place in the middle of your foot where the long bones that go up to your toes—metatarsals—connect with the bones in the arch of your foot—tarsals. The connection consists of joints and a ligament or strong band of tissue on the bottom of the foot. At Gentle Professional Foot Care we generally see three types of Lisfranc Injuries:

1. Fractures—this can be a break through one or more of the bones in joint in the midfoot or what’s known as an avulsion fracture, which is when a small piece of bone is torn off.

2. Dislocations—when the bones of the Lisfranc joint are forced out of normal position

3. Sprains—if the Lisfranc ligament is overstretched (sprained) it can create instability for the joints in the middle of your foot.

These injuries may occur separately or in conjunction with one another.

How do Injuries Occur?

An injury to the Lisfranc joint is more common in people who participate in sports or activities that put strain on the midfoot, such as runners, football players or horseback riders. They can also occur in automobile accidents or as the result of a trauma to the foot such as a heavy object falling on it or severely twisting the foot in a fall. Sometimes an injury occurs from something as minor as missing a step.

Signs of a Lisfranc Injury

If you have injured your Lisfranc joint, you may experience any or all of the following:

· Pain in the midfoot when standing or if pressure is applied

· Bruising or blistering on the arch of the foot or the top of the midfoot

· Swelling

· Difficulty or inability to bear weight on the foot

· The foot appears wider

Lisfranc injuries require careful diagnosis as they are sometimes mistaken for ankle sprains. If an injury has occurred to your foot that you think may have resulted in damage to the midsection and you are having any of the above symptoms, make an appointment at our Venice office. Our foot and ankle surgeon, Dr. Charles A. Suleskey will do a complete examination of your foot and prescribe the correct treatment. Delaying seeking treatment can lead to complications, so don’t wait, contact us as soon as possible by calling: 941-493-7999.