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853 Jefferson Ave
Washington, PA 15301
(724) 225-7410
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By Philip S. Pinsker, DPM PC
July 13, 2017
Category: Foot Conditions

Some injuries are more difficult to diagnose than others. At Philip S. Pinsker, DPM, one area of the foot that can mimic other conditions in its injury symptoms is the Lisfranc joint. The Lisfranc joint is located midfoot where the bones in the arch of your foot connect to the base of the metatarsal bones (the long bones that go up to your toes). Symptoms of a Lisfranc injury include:

  • Pain throughout the midfoot, particularly when standing or if pressure is applied
  • Inability to bear weight on the foot
  • Swelling
  • Abnormal widening of the foot
  • Bruising or blistering on the arch or top of the foot

Making the Correct Diagnosis

Lisfranc injuries can happen due to direct or indirect trauma to the foot. Examples of direct trauma to the foot are a heavy object falling on it or an injury that occurs from an on-field collision. An indirect trauma usually happens through a twisting injury. Sometimes Lisfranc injuries are mistaken for ankle sprains. Our podiatrist, Dr. Philip S. Pinsker, will need to examine your foot and ankle and will want to know specifically how the injury occurred. Imaging studies, such as x-rays may be ordered to fully evaluate the injury. 

A Lisfranc injury can take three forms:

Fractures: this can be a break through one or more of the bones in the midfoot or an avulsion fracture (where a small fragment of bone is pulled off).

Sprains: the Lisfranc ligament, along with other ligaments found on the bottom of your foot are responsible for helping to keep the Lisfranc joint stable. If one of these is overstretched or sprained, a patient will likely experience pain and instability in the foot.

Dislocations: this is when the bones of the Lisfranc joint are pushed out of their normal position from the force of a trauma.

While there are several conservative treatment measures available for Lisfranc injuries, surgery may be required depending on the specific type of injury and its severity. Once the foot doctor is able to accurately pinpoint the location and type of injury the proper treatment can begin. If you are experiencing any of the above symptoms, don’t wait. Contact our Washington office as soon as possible by calling: (724) 225-7410. 

 

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