3-4 days free worldwide delivery

Lisfranc Injuries

by MASS4D® Prescription Orthotics May 27, 2018

Lisfranc Injuries

Lisfranc injuries refer to a spectrum of rare injuries involving the tarsometatarsal joint complex of the midfoot. This includes the tarsometatarsal joints, the intermetatarsal ligaments and the intercuneiform joints.

Such injuries could broadly range from ligamentous sprains to fracture dislocations of some or all the tarsometatarsal joints, which often result in debilitating consequences for the individual.

One of the most well-respected classification of Lisfranc injuries was given by Quenu and Kuss in 1909. It is based on a three-column conceptualisation of the midfoot with the injuries divided into types A, B and C.

Type A injuries include homolateral ruptures which entail movement of all the metatarsals in the same direction. Type B injuries comprise an isolated rupture of the first metatarsal or the smaller rays. Type C injuries refer to a divergent displacement of the first ray and lesser rays in contrasting directions.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


Wynter and Grigg describe the mechanism of Lisfranc injuries as arising from a variety of situations, with both direct and indirect injuries acting as triggers for the onset of the damage.

Direct injuries involve force applied directly to the dorsum of the foot, for instance in motor vehicle accidents or falls, which causes soft tissue injury, vascular dysfunction and fractures.

Indirect trauma implies axial force through the foot, twisting on a plantar flexed foot or forced external rotation of the foot; this could easily occur during sports activities such as football or even during household accidents.

With a significant proportion of Lisfranc injuries missed during initial diagnosis, it is necessary for the clinician to maintain a high level of clinical awareness and suspicion while examining a swollen midfoot after a traumatic incident.

Orthotic support in the form of MASS4D® foot orthotics is recommended for consideration in cases presenting no evidence of instability or diastasis on weightbearing radiographs.

This should follow a conservative treatment programme involving physiotherapy and a period of immobilisation.

MASS4D® foot orthotics can be customised according to individual specifications to provide the patient with an optimal balance of flexibility and rigidity necessary to facilitate a functional change. This would also serve as a good long-term measure to prevent the development of post-traumatic arthritis in the foot.

Copyright 2018 MASS4D® All rights reserved.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


Related Links
Acute and Recurrent Ankle Sprains
Prevention and Assessment of Fall Risks in the Elderly
Optimal Rigidity and Flexibility of MASS4D®

References:

  1. Wynter, S., Grigg, C. (2017) Lisfranc Injuries. Australian Family Physician: March 2017, Vol. 46, No. 3, pp. 116-119
  2. Sobrado, M. F., Saito, G. H., Sakaki, M. H., Pontin, P. A., Dos Santos, A. L. G., Fernandes, T. D. (2017) Epidemiological Study on Lisfranc Injuries. Acta Ortopédica Brasileira: January-February 2017, Vol. 25, No. 1, pp. 44-47. DOI:  10.1590/1413-785220172501168995
  3. Eleftheriou, K. I., Rosenfeld, P. F., Calder, J. D. F. (2013) Lisfranc Injuries: An Update. Knee Surgery Sports Traumatology Arthroscopy: April 2013, Vol. 21, pp. 1434-1446. DOI 10.1007/s00167-013-2491-2

Leave a comment

Comments will be approved before showing up.


Also in Clinicians Blog

Pilates For Posture
Pilates for Posture Improvement

by MASS4D® Prescription Orthotics November 11, 2018

The emphasis of pilates on core strengthening and improvement of posture makes it a good addition to treatment and rehabilitative strategies, especially those that are designed to minimise postural disparities.

Read More

Posterior Ankle Impingement Syndrome
Posterior Ankle Impingement Syndrome

by MASS4D® Prescription Orthotics November 04, 2018

Repetitive plantarflexion can lead to pain and mechanical limitation in the posterior ankle joint which is known as posterior ankle impingement syndrome. This pathology commonly occurs in ballet dancers and football players. 

Read More

Os Peroneum Syndrome
Treating Os Peroneum Syndrome

by MASS4D® Prescription Orthotics October 29, 2018

Clinical diagnosis of os peroneum syndrome should involve physical examination that can help reveal swelling over the cuboid with pain felt during palpation. The patient will feel this pain intensify during plantar flexion, and during the heel elevation stage of the gait process.

Read More