Lisfranc Joint Injury

A Lisfranc joint injury is a compromise at that joint, be it a sprain, strain or other disruption.    The Lisfranc ligament is a large band of plantar collagenous tissue that spans the joint at the medial cuneiform (top of the midfoot) and the second metatarsal (2nd toe shaft that meets the midfoot) base. While transverse ligaments connect the bases of the lateral four metatarsals, no transverse ligament exists between the first and second metatarsal bases. This makes this area weak in comparison to the other toes and more subject to injury

Lisfranc joint injury can occur as a result of direct or indirect trauma.  Direct trauma occurs when an external force strikes the foot.  With indirect trauma, force is transmitted to the stationary foot or through a twisting fall.

Other names or similar foot conditions:

  • Foot sprain or strain
  • Dorsal sprain or strain

Symptoms:

  • Swelling over the dorsal midfoot region
  • Inability to bear weight while standing on toes

Signs to look for:

  • Swelling over the dorsal midfoot region
  • Pain upon palpation
  • X-ray finding

Possible Causes:

  • High energy forces, such as falls from heights, auto accidents
  • Twisting fall injury
  • Twisting action on a stationary foot

Goals:

  • Distribute weight evenly over entire foot
  • Restore optimal arch function and motion
  • Cushion impact of body weight on feet, legs and spine
  • Restore flexibility to ankle and feet

How We Help!

Arch Supports:

Shoes:

Activities:

  • Rotate weight bearing exercises, such as walking or jogging, with non-weight bearing exercising, such as swimming or bicycling

This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care.  The information has been compiled from sources available to the general public and referenced below.  Copyright 2005-2010 Carole Romig

 

Sources  Image: aafp.org  Text: aaftp.org, I. Alexander:  The Foot: Exam & Diag

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