Doctor insights on:
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 moreSee 2 more doctor answers
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
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
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
When your : Surgeon tells you it's okay.Get a more detailed answer ›
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
You should not.: This really depends on how long you have had the fracture and how displaced it is, and how you have been treating it since the injury. If you are waiting for it to heal without surgery, you should not be bearing weight on that foot at all. This would include getting in and out of a pool and using your foot to kick in the pool. ...Read moreSee 1 more doctor answer
See doctor: A lis-franc injury is a serious condition occurring between the base of the 1st and 2nd rays which if left untreated will affect the way you use your foot and walk. See a podiatrist or a foot/ankle orthopedist. Stabilizing the injury usually involves surgery but rehabilitating it afterwards is just as important to regain full function and strength. ...Read moreSee 2 more doctor answers
I developed AVN in my midfoot navicular after a fracture to that area which never healed after 4 mos. what's this mean for me? Pain forever?
Fractured lisfranc joint and had it fused. During surgery they said a bone was really soft and had to put a plate on it, what could cause this?
What can I do other than surgery for the pain associated with a lisfranc fracture that went untreated for seven years? I have custom orthodics.
Frequently: Probably 20-50 percent of subtle lisfranc fractures are missed in the er. Significant swelling, bruising on the bottom of the foot and pain lasting more than 2-3 weeks are indications to seek evaluation from an orthopedic surgeon trained in foot and ankle. ...Read moreSee 1 more doctor answer
How do they do a midfoot fusion when they feel screws will fall out due to multiple comminuted fractures?
Midfoot fusions: Midfoot fusions are a common surgical treatment for comminuted fractures of the midfoot. If there is a large bony defect that worries the surgeon, bone grafts can be placed at the sites of the defects. This can promote healing and prevent hardware failure. ...Read more
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
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