Lisfranc Injury A Frequently Misdiagnosed Foot Injury
Named after a Napoleonic surgeon Jacques Lisfranc de St. Martin, a Lisfranc injury is an injury to the midfoot which is often misdiagnosed and mistaken for a simple sprain. This is especially the case if the injury is as a result of a twist/fall. A Lisfranc injury however is a significant injury to the foot that may take many months to rehabilitate and depending on the severity of injury can require surgery to treat.
What Is A Lisfranc Injury?
Also called Lisfranc fracture-dislocations a Lisfranc injury involves disruption to the Lisfranc joint. The Lisfranc joint represents the articulation between the midfoot and forefoot, injury here can result if bones in the midfoot are broken or ligaments supporting the midfoot are torn. A Lisfranc injury encompasses everything from a mild sprain to the complete disruption of the normal anatomy through the midfoot joints thus can vary from a simple sprain to something more complex involving fracture-dislocations involving many joints and bones in the midfoot.
The Anatomy Of The Lisfranc Joint
The midfoot as it would suggest is the middle region of the foot. This part of the foot is crucial for walking and is where a cluster of small bones form and stabilize the arch on the top of the foot.
The Lisfranc complex of the midfoot has a specialized bony and ligamentous structure, providing stability to this joint. Specifically the Lisfranc joint is the articulation of the tarsus with the metatarsal bases. Where the first three metatarsals articulate respectively with the three cuneiforms, and the 4th and 5th metatarsals articulate with the cuboid.
Disclaimer: Sydney Physio Clinic provides this information as an educational service and is not intended to serve as medical advice. Anyone seeking specific advice or assistance on Lisfranc Injury A Injury To The Midfoot should consult his or her physiotherapist, general practitioner, sports medicine specialist or orthopaedic surgeon.