Everything You Need to Know About the Lisfranc Injury

Across the country, no state has a higher incidence rate of foot injury or foot care issues than New York. Much of that is due to the sheer volume of individuals across the five boroughs, where walking, is by far the most common form of transportation. Whether it’s the commute to, and from the office or school, a date with that special someone, or a day trip with the family – New Yorkers mainly use a combination of walking and public transportation for all their everyday needs, with the average NYC resident walking more than 5 miles per day! As the top foot specialist Midtown Manhattan has to offer, Midtown podiatrist, Dr. Harvey Katz and his team at Midtown Foot Care have identified a number of different issues amongst their patients. One of the most common injuries in recent times, has been the Lisfranc injury. The Lisfranc injury, also known as the Lisfranc fracture, is an injury in which one or more of the bones within the midfoot area, known as the metatarsals, are broken, and separated from the Lisfranc complex of bones in the midfoot. In addition to the fractured bone, the Lisfranc injury can also involve ligament damage within the midfoot area.

The midfoot area consists of five small bones, called metatarsals, forming the arch of the foot. These bones extend all the way to the toes and are held in place by connective tissue or ligaments, that stretch across the length and width of the foot. Despite this, the foot lacks any connective tissue holding the first and second metatarsal in place. As a result, any twisting, or awkward fall can cause these bones to shift out of place. This is critical, as the Lisfranc complex is important for walking or running andstabilizing the arch of the foot during any movements. As a foot specialist Midtown podiatrist, Dr. Harvey Katz can often identify the early onset of a Lisfranc injury, by changes in an individual’s gait or walking stride.

Considering the foot’s dependence on the Lisfranc complex in order to walk or run, it’s no wonder these types of injuries are most common amongst professional athletes. As the foremost foot specialist Midtown has to offer, a number of Dr. Katz’ patients are cross country runners, sprinters, and soccer players. They choose him and the team at Midtown Foot Care, to treat their issues, over any other Midtown podiatrist. In addition to those that run for a living, New Yorkers are the second most common Lisfranc patients, as a result of the stress they place on their feet from walking on hard pavement. While stress over time can cause a Lisfranc fracture to occur, another major cause of this issue is an awkward fall or trip. When falling, if someone were to twist their foot at the arch, because of the weakness of the ligaments, it is highly likely to snap or break.

While the team at Midtown Foot Care can easily diagnose a Lisfranc injury, it is important for you to be aware of the common symptoms associated with this type of fracture. Some of the more prominent symptoms include:

·  Swelling at the Top of the Foot.

·  Midfoot Pain – Will intensify as you stand, walk, or put excess weight on it. Crutches may be required during recovery.

·  Bruising at the top and bottom of the foot. If bruising is present at the bottom of the foot, this indicates that there is also ligament damage present – more than likely a complete tear of the midfoot.

Considering that this is a fracture of a bone that is extremely important, immediate treatment is vital. As a foot specialist Midtown podiatrist, Dr. Katz recommends before coming in patients take some practicemeasures. Similar to the treatment of a basic ankle or foot sprain, patients are recommended to use the RICE method of treatment. Rest, Ice, Compression & Elevation – this should be done from the moment you feel the initial pain, until you are ready to visit the podiatrist. Once at the doctor, you will undergo both a physical examination and digital imaging. During the physical exam, Dr. Katz will put stress on your toes to identify the area in which the Lisfranc fracture has occurred. Then using digital imaging tests such as an X-Ray, CT scan, and MRI – the team at Midtown Foot Care will be able to confirm both the fracture and/or the ligament tear.

At this point treatment is determined by the extent of damage done to both the bone and connective tissue. Most of the time, as with most breaks, you will have to wear a cast or non-weightbearing boot, for several weeks – keeping the foot in place and allowing the bone to mend itself naturally. For more severe injuries in which the joints have become displaced in an extremely abnormal manner, surgery is usually required. Most of the time, the bones are repositioned, and must be held in place with screws or a metal plate. This can be a painful, difficult process of recovery, lasting nearly 4-6 months. For more information on the Lisfranc Fracture, and all aspects of foot care, contact Midtown Foot Care today.