Lisfranc Fracture | Midfoot Fracture

A Lisfranc fracture is a name given to a fracture of the bones in the midfoot.  The fracture can occur if you have dropped something heavy on your foot, or if you have twisted in a sports or car accident.  If you suspect you have a Lisfranc fracture, see a doctor immediately to receive appropriate treatment. Some Lisfranc fractures can heal with casting and physical therapy. If you have bones that have moved out of place, surgery may be necessary.

Lisfranc Fracture Anatomy

The Lisfranc joint is located where your tarsals, which are small bones in your midfoot, meet your metatarsals. The metatarsals are long bones that connect your toes to the rest of your foot. Any fracture that occurs at or around this joint is deemed a Lisfranc fracture.

Lisfranc Fracture Causes

Lisfranc fractures most often occur when something extremely heavy is dropped on the foot, cracking the bones in the midfoot. Fractures in that area can also occur in car accidents or in contact sports, where the foot is twisted forcefully. These bones can also potentially be dislocated.

Lisfranc Fracture Symptoms

Lisfranc fractures may cause pain when standing. Walking or standing for long periods, or at all, maybe difficult. Your foot may swell, bruise, or appear deformed.  A Lisfranc fracture is commonly mistaken for a sprained foot.

Lisfranc Fracture Diagnosis

It is important to contact your doctor to receive a correct diagnosis and treatment.  If left untreated, Lisfranc fractures could lead to foot deformities and problems with your feet in the future. You should tell your doctor about your symptoms and any events leading up to your injury which may have caused it.

Your doctor will review your medical history and conduct an examination. CT scans, MRIs, or X-rays may be used to determine the extent and location of the injury.

Lisfranc Fracture Treatment

The treatment that you receive depends on the extent and severity of your injury.  A combination of various non-surgical treatments is used if the bones did not dislocate.  A cast will be placed on the foot to stabilize it while the fracture heals. While wearing your cast, you will need to keep weight off your foot by walking with crutches.  When the cast is removed, physical therapy could be necessary to help teach you exercises to regain motion and strength.

Lisfranc Fracture Surgery

Surgery is used in the case of severe fractures or dislocated bones to place the bones in their appropriate positions. Surgical hardware, such as pins, screws, or wires, will typically be placed during surgery to hold the bones in alignment. You will wear a cast and use crutches for approximately six to eight weeks.  After the surgical hardware is removed, you will be required to wear a rigid walking brace or shoe. Physical therapy will likely be necessary to help you regain movement. 

Lisfranc Fracture Recovery

Recovery is highly individualized and depends on the extent of your condition and the treatment that you received. Arthritis is likely to develop within the Lisfranc joint after a Lisfranc fracture, requiring more treatment in the future.

Lisfranc Fracture Prevention

It is important to follow your doctor’s instructions for keeping weight off your foot or refraining from certain activities while your fracture heals.  You should be sure to perform your physical therapy exercises at home as instructed by your physical therapist.

At SPORT, we will identify the source of your pain and then utilize state-of-the-art therapeutic techniques that focus on restoring your range of motion.

Depending on the specific condition and its severity, these treatment options may include physical therapy, over-the-counter anti-inflammatory medication, slings and supports, cortisone shots, or surgery.

If you have an acute or chronic foot or ankle injury that needs medical attention, call SPORT at (469) 200-2832 to arrange a consultation or you can request one online. Hurt today? We can arrange a same-day urgent care visit to ensure you get fast, effective relief.

Call Now Button