Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

A FAQ on the Lisfranc injury

Edward Pullen, MD
Conditions
November 22, 2012
Share
Tweet
Share

Sports fans have heard a lot about football players with Lisfranc injuries recently. Maurice Drew-Jones, running back for the Jacksonville Jaguars and Santonio Holmes, receiver for the New York Jets, have been in the news.  Matt Schuab, QB for the Houston Texans missed last  season from a Lisfranc injury.

Many of you may know that a Lisfranc injury is a type of foot injury and that it can sometimes be very serious requiring surgery and take a year or more to recover.  What you may not know is that most Lisfranc injuries have nothing to do with sports, being much more common from more violent accidental trauma.  Read on any you will learn what the Lisfranc joint is, how it gets injured, when to suspect a Lisfranc injury, a little bit about treatment, and enough history and anecdote to make it interesting.

The Lisfranc joint is named for a surgeon in Napoleon’s army, Jacques Lisfranc de St. Martin, who performed an amputation of a soldier’s gangrenous foot through the midfoot, where the arch of bones known as the tarsal bones connect the hindfoot to the metatarsals, or forefoot.  These 5 bones of the tarsus function as a unit, and are connected by ligaments and a contained within a capsule, and are sometimes referred to as the Lisfranc joint.  This joint is really pretty stable, and most injuries to the Lisfranc joint occur from high impact trauma like motor vehicle accidents and industrial accidents.  These cases are often these are referred to as direct Lisfranc injuries, for example when the foot is run over by a car and a crushing injury occurs, or a fall from a height with the victim landing with the foot pointed downward. Indirect Lisfranc injuries are very uncommonly seen in athletes. The mechanism of injury is usually when the foot is pointed down and fixed, and a violent twisting force is applied to the joint.  Examples are a horse back rider thrown with the foot caught in the stirrup, a snow boarder or wind-surfer  falling with the foot in a binding across the mid-foot, and less often in a football situation where the foot is planted on the ball of the foot and a tackle or sudden change of direction leads to a wrenching injury across the Lisfranc joint.

Darren McFadden and Cedric Benson are two other well known NFL players with Lisfranc injuries.   The University of Maryland quarterback Devin Burns has also been in the news this month with a Lisfranc injury.

Here are some questions and answers that may help you think about Lisfranc injuries:

Q: What are the signs and symptoms of a Lisfranc injury?

A: Swelling and pain over the mid-foot, the area just in front of the ankle, and bruising of this area, especially noted on the bottom of the midfoot.

Q: How is a Lisfranc injury diagnosed?

A: The first thing is that to diagnose a Lisfranc injury you have to have a high level of suspicion i.e. think of the diagnosis.  Sometimes an x-ray, especially if taken bearing weight will show a separation of the bones of the midfoot, most commonly a widening of the space between the first and second metatarsals.  Often an MRI or CT scan is needed to look for ligamentous or bone injuries.

Q: Does a Lisfranc injury require surgery?

A: Sometimes. If a major disruption of the ligaments or displaced fractures is found, often surgery is needed.  Sometimes for less severe injuries immobilization is adequate.  An orthopedic surgeon experienced in the treatment of Lisfranc injuries should be involved in helping decide on the best treatment for any individual injury.

Q: How long does it take to recover from a Lisfranc injury?

A: This is variable depending of course on the severity of the injury and the treatment chosen, but longer than many other injuries, sometimes a year or more.

ADVERTISEMENT

Q: Are there more Lisfranc injuries now that in the past since it seems like we hear more about these now?

A:  I don’t know, but I suspect better imaging, popularity of using the eponymous Lisfranc injury, and the information age have all led to a much higher visibility.

Edward Pullen is a family physician who blogs at DrPullen.com.

Prev

More than half of my ER shift was spent on entering data

November 21, 2012 Kevin 6
…
Next

How entertainment has altered our desire for diagnosis

November 22, 2012 Kevin 5
…

Tagged as: Primary Care, Specialist

Post navigation

< Previous Post
More than half of my ER shift was spent on entering data
Next Post >
How entertainment has altered our desire for diagnosis

ADVERTISEMENT

More by Edward Pullen, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Mal de debarquement: Vertigo and dizziness after a cruise

    Edward Pullen, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Proton pump inhibitors and B12 deficiency: What to do now

    Edward Pullen, MD
  • a desk with keyboard and ipad with the kevinmd logo

    5 preventive services to do, and 5 to avoid

    Edward Pullen, MD

More in Conditions

  • Facing terminal cancer as a doctor and mother

    Kelly Curtin-Hallinan, DO
  • Why doctors must stop ignoring unintentional weight loss in patients with obesity

    Samantha Malley, FNP-C
  • Why hospitals are quietly capping top doctors’ pay

    Dennis Hursh, Esq
  • Why point-of-care ultrasound belongs in emergency department triage

    Resa E. Lewiss, MD and Courtney M. Smalley, MD
  • Why PSA levels alone shouldn’t define your prostate cancer risk

    Martina Ambardjieva, MD, PhD
  • Reframing chronic pain and dignity: What a pain clinic teaches us about MAiD and chronic suffering

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A FAQ on the Lisfranc injury
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...