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Lisfranc Injury: A Tarsometatarsal Joint Injury

Lisfranc Injury: A Tarsometatarsal Joint Injury
Lisfranc Injury A Tarsometatarsal Joint Injury

Lisfranc Injuries Vary In Severity

Tarsometatarsal joint injury also known as a Lisfranc injury or a Lisfranc Fracture-Dislocation is an injury at the midfoot. These tarsometatarsal joint (TMT joint) injuries can vary from being a more simple injury affecting only a single joint through to a complex injury disrupting multiple different joints, including multiple fractures.

Causes Of Tarsometatarsal Joint Injury

The major causes of Lisfranc injuries:

  • Low-energy Tarsometatarsal Joint Injury: These low-energy injuries to the TMT joint are often sports related injuries which can happen with a simple twist and fall. Occurring in football codes like soccer or American football and are often the result of falling over the top of a foot that is plantaflexed (flexed downwards).
  • High-energy Tarsometatarsal Joint Injury: More severe TMT joint injuries occur as a result of motor vehicle accidents or from direct trauma, such as a fall from a height. High-energy injuries are more serious and can result in multiple fractures and dislocations of the tarsometatarsal joints.
  • Crush Injuries to the Tarsometatarsal Joint: Direct crush injury to the foot can result in tarsometatarsal joint injury such as a heavy weight being dropped on the foot or a car driving over top of a foot.

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Signs And Symptoms Relating To TMT Joint Injury

Common Signs And Symptoms Of A Tarsometatarsal Joint Injury Include:

  • The individual will feel that the pain worsens with standing, walking or pushing off on the injured foot.
  • The top of the foot may be swollen, bruised and painful.
  • Bruising bottom of the foot is highly suggestive of a TMT Joint Injury.

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 Tarsometatarsal Joint Injury should consult his or her physiotherapist, general practitioner, sports medicine specialist or orthopaedic surgeon.

Hayden Latimer is the founder of and principle physiotherapist at Sydney Physio Clinic. Since graduating from Otago University, Dunedin, New Zealand he’s gained wide experience practicing across the globe for over 15 years and is now extremely knowledgeable in helping people reduce discomfort and restore function and mobility.


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