Lisfranc Fracture - A Quick Guide


Everyone experiences orthopedic injuries, especially fractures, at least once in their lifetime. Whether mild or serious, fractures are common injuries, and they can occur anywhere in the body. Fractures can also occur in the foot, and this is what we are going to discuss here. This blog will talk about Lisfranc fractures, a condition that affects the bones in the foot. 

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What is a Lisfranc Fracture?

In layman’s terms, a Lisfranc fracture is a type of foot fracture. It affects the bones at the top of the foot or we can say the Lisfranc joint. A Lisfranc joint is a junction where the metatarsal bones meet the rest of the foot. Many bones along with ligaments and tendons meet at this junction to maintain the arch of the foot and ensure its proper movement. The Lisfranc joint is a complicated junction where too many connective tissues and bones meet and the proper functioning of each is important to ensure trouble-free movement of the foot.

What Are the Causes of Lisfranc Fractures?

Lisfranc fractures or injuries can affect anyone from athletes to people engaged in high-impact physical activities. A few of the common causes of the condition may include automobile injuries and industrial accidents. Besides this, Lisfranc fractures may also occur because of sudden twisting of the foot, falling on the top of the foot, and direct trauma. Athletes like football or soccer players are also prone to Lisfranc injuries. 

What Are the Symptoms of Lisfranc Fractures?

Injuries are always painful and a break or any damage to the Lisfranc joint also results in severe pain. Besides this, swelling or deformity in the midfoot may also be experienced. The patient will find it difficult to put weight on the injured foot. Above all, some people may experience bruising around the Lisfranc joint. 

Symptoms of Lisfranc injuries may vary according to the severity and the cause of the condition. 

What is the Diagnosis for Lisfranc Fractures?

Lisfranc injuries may not be life-threatening but they make a big impact on your routine lives. If not diagnosed timely, the condition would become severe while making it difficult for you to walk or even stand. The diagnosis often starts with a physical examination where the healthcare service provider looks for visible signs and painful movements. Questions regarding the cause of the injury and symptoms experienced may also be asked by the orthopedic specialist. Above all, imaging tests will be ordered to confirm the condition and assess its severity. The tests ordered may include:

  • X-ray
  • CT Scan
  • MRI

What is the Treatment for Lisfranc Fractures?

The treatment of the condition depends on its severity and exact location. However, both surgical and non-surgical treatments are there for the treatment. If there is not much damage to the ligaments & tendons or the fractured bone has not moved too much out of its place, application of a cast or wearing boots may help relieve the condition. While on the other hand, severe cases like displaced fracture or too much damage to the ligament or tendons require surgery. Orthopedic plates and screws are used to keep fractured bone into true anatomical position. 

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