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Doctor insights on: Lisfranc Midfoot Fracture

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What are the tests for lisfranc (midfoot) fracture?

What are the tests for lisfranc (midfoot) fracture?

CT ; r-rays: It is named after dr lisfrank during the napolionic wars, caused by soldiers who fell from their horses ; had a foot caught in the stirrup. Nfl has quite a few of them. Usually missed or often missed due 2 the fact that they reduce themselves, ; if no fractures ; only dislocation, an MRI is needed in those cases of high suspicion. ...Read more

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Dr. Al Hegab
9 doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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What is the treatment for lisfranc (midfoot) fracture?

What is the treatment for lisfranc (midfoot) fracture?

Most require surgery: Only non-displaced or very minimally displaced lisfranc injuries will heal successfully without surgery. Most others need surgery. Most often, surgery means putting several screws and/or pins across the injured areas. This is a tough injury to treat in that it often results in some residual pain/dysfunction. ...Read more

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ORIF 6/15 for lisfranc & nutcracker injuries. Diffuse osteopenia in midfoot now. Advise hardware removal or would it pose risk of re-fracture? Age 44

ORIF 6/15 for lisfranc  & nutcracker injuries. Diffuse osteopenia in midfoot now. Advise hardware removal or would it pose risk of re-fracture? Age 44

The osteopenia: May be from not using the foot during the rehab period as I'm sure you were in a cast or splint. I would advise checking your bit d levels and pending their result take vit d supplementation based on blood work and also supplement with vitamin k2 and hopefully as you are walking more and more the bone will build up. ...Read more

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How do most midfoot fractures occur?

How do most midfoot fractures occur?

Midfoot fractures: Depending on the location, a midfoot fracture can occur with forces ranging from minor to major. Dancing, ankle inversion injuries, motor vehicle accident, falls from heights & horses and sports can all cause midfoot fractures/dislocations. Treatment of these injuries depends on the type and severity. Surgery is sometimes required. You doctor must evaluate your injury & determine the treatment. ...Read more

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What are the tests for lisfranc fracture?

What are the tests for lisfranc fracture?

X-rays, to start: As with any fx, plain x-rays are all that may be needed to make dx. Interestingly, it is named after a 18th century gynecologist/surgeon. It's fx of one of the three middle metatarsus (foot) bones. Also, interestingly, this type of fracture can occur with simply walking, jogging, particularly in predisposed people (osteoporosis). Diabetics may have it and not know, due to neuropathy-numb feet. ...Read more

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How long after a lisfranc fracture can walk normally?

3-6 months: Lisfranc injuries unfortunately have an long recovery. I tell my patients it takes 3 months to heal and 3 months to rehab. ...Read more

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What are the consequences of not healing a midfoot fracture?

Depends: There are several types of midfoot fractures. Some can not heal and may not cause many symptoms. Others may cause severe disability. If you have a non healed midfoot fracture, seek advice from an orthopedic surgeon trained in foot and ankle. ...Read more

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I had a lisfranc fracture - how long will it be before I can bear weight and walk again?

I had a lisfranc fracture - how long will it be before I can bear weight and walk again?

6 weeks to 3 months: Lisfranc injuries range from sprains to complete dislocations. Immobilization in cast can take up to 3 months. Stable sprains can be treated nonoperatively but displaced injuries require surgery. Both are treated with nonweight-bearing cast for 6 weeks then progressive weight bearing in removable boot or walking cast for another 6 weeks, advancing as comfort allows. Patients are advanced to a supportive shoe and reconditioning when comfort allows. ...Read more

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If I have a lisfranc fracture, do I need to have surgery or will things heal on their own?

If I have a lisfranc fracture, do I need to have surgery or will things heal on their own?

Usually surgery: Most lisfranc injuries require surgery, as this can be an unstable midfoot injury which can lead to chronic midfoot pain and arthritis. If the fracture is in normal alignment, you may be able to treat this with a cast, but if there is any degree of displacement (which there usually is) then fixation is preferable to help prevent long term midfoot problems. ...Read more

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Dr. Jeffrey Wint
1,471 doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more