What are the Symptoms of Lisfranc Injury?

What are the Symptoms of Lisfranc Injury?

A Lisfranc injury refers to damage or dislocation of the joints and ligaments in the midfoot, particularly the Lisfranc joint complex, which is a critical connection between the metatarsal bones (long bones of the foot) and the tarsal bones (bones in the arch of the foot). Symptoms of a Lisfranc injury can vary based on the severity of the injury but may include:

  1. Pain and Swelling:
    • Immediate pain and swelling on the top of the foot, especially in the midfoot area, following the injury.
  2. Difficulty Bearing Weight:
    • Difficulty or inability to bear weight on the affected foot due to severe pain.
  3. Bruising:
    • Bruising or discoloration (ecchymosis) of the foot or toes, which may develop over time.
  4. Instability:
    • Instability or a feeling of the bones in the midfoot being displaced, making it challenging to walk or stand.
  5. Difficulty Walking:
    • A noticeable change in gait or difficulty walking normally due to pain and instability.
  6. Tenderness:
    • Tenderness to touch over the midfoot or Lisfranc joint, particularly at the top of the foot.
  7. Arch Pain:
    • Pain in the arch of the foot due to the disruption of the joint complex.
  8. Limited Range of Motion:
    • Reduced range of motion or stiffness in the midfoot and difficulty moving the toes.
  9. Visible Deformity:
    • In severe cases, a visible deformity or a noticeable widening of the foot may be observed.
  10. Bone Displacement:
    • Dislocation or shifting of the metatarsal bones in relation to the tarsal bones, which can be detected through imaging studies.
  11. Numbness or Tingling:
    • Numbness, tingling, or altered sensation in the toes or foot, indicating potential nerve involvement.
  12. Inability to Flex or Extend Toes:
    • Difficulty flexing or extending the toes due to pain and restricted movement.

Lisfranc injuries can range from mild ligament sprains to severe fractures and dislocations. Prompt medical evaluation and appropriate imaging, such as X-rays, CT scans, or MRI, are crucial for an accurate diagnosis. Treatment may involve immobilization, surgery to realign and stabilize the bones, and rehabilitation to restore function and strength to the foot.

If you suspect a Lisfranc injury or experience any of the symptoms mentioned above, it’s essential to seek immediate medical attention to ensure proper diagnosis and management.

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