What is the Lisfranc Sprain?
Lisfranc Sprain is a midfoot injury caused by damage to the ligaments or bones in the tarsometatarsal joint. It typically results from a twist or high-impact trauma during jumping or directional changes. If not diagnosed early, it can lead to chronic instability or arthritis. This article explains how to identify a Lisfranc injury and what treatment options are recommended.
Definition
The abductor muscles are a group of muscles located in the outer part of the thigh and are responsible for lifting and separation of the leg from the body. These muscles are essential for a wide variety of activities, such as walking, running, jumping, dancing, and ice skating. A distension of the abductors occurs when the muscles are stretched beyond their normal capacity and produce microtrauma in the muscle fibers.
Causes
The distention of Lisfranc can be caused by a variety of factors, but generally occurs when there is a strong pressure or torque on the joint of the foot. Some common causes of injury Lisfranc are:
- Direct Trauma: a fall or a direct blow to the foot can cause damage to the bones and ligaments of the joint, Lisfranc.
- Sports: contact sports, such as football, rugby and basketball, increase the risk of injury in the foot.
- Traffic accident: a car accident can exert extreme force in the foot and cause an injury of the Lisfranc.
- Tripping and falling: tripping or falling on the foot can cause injury to the joint.
Diagnosis
The diagnosis of strain of Lisfranc is done through a combination of physical examination and imaging tests. The doctor will perform a physical assessment to look for signs of inflammation, pain and tenderness in the foot. It is also possible to perform tests of strength and mobility to assess the extent of the injury.
Imaging tests, such as X-rays, computed tomography (CT) and magnetic resonance imaging (MRI), may help to confirm the diagnosis of injury of the Lisfranc. These tests can show damage to the bones, ligaments and joints of the affected area.
Treatment
The treatment of the relaxation of Lisfranc depends on the severity of the injury. The milder injuries can be treated with rest, ice, compression and elevation (RICE, for its acronym in English) to reduce the inflammation and pain. In addition, it may be prescribed anti-inflammatory medication to relieve pain and reduce inflammation.
In more severe cases, it may be necessary to wear an orthopedic boot or a cast to immobilize the foot. Surgery may be necessary if the bones or ligaments are fractured or displaced. During the surgery, you may place plates, screws or wires to hold the bones in place and allow the injury to heal.
Rehabilitation
Rehabilitation is an important part of the treatment of the relaxation of Lisfranc. After surgery or a serious injury, it is important to work with a physical therapist to regain strength, mobility and flexibility of the foot. The rehabilitation may include specific exercises for the foot, as well as exercises to strengthen the leg and the rest of the body.
The exercises can include movements of range of motion, balance exercises and strengthening exercises. In addition, the physical therapist may use massage techniques and stretches to help reduce inflammation and improve circulation in the affected area.
Back action
The return to action after an injury of the Lisfranc should be gradual and supervised by a medical professional or physical therapist. Premature return to sport or physical activity may increase the risk of relapse or worsen the injury.
It is important to follow the recommendations of the doctor or physical therapist to avoid re-injury. This can include wearing proper footwear, perform stretching exercises before and after physical activity and avoid sudden movements or sudden.
Note: this article is only intended to be informational use. In any case self-diagnose. If you suffer from any medical condition, we recommend that you go to your physical therapy clinic of confidence.
Cedric Arregui Guivarch
National Coach of Basketball (CES 2014)
Bibliography and Webgrafía
- Guirado JL, Marco F. Injuries of the Lisfranc. Spanish journal of Orthopaedic Surgery and Traumatology. 2010;54(5):325-331. doi:10.1016/j.recot.2010.06.002
- Castejon Garcia, Bayod J. traumatic Injury of the joint, Lisfranc. Review of the literature. International journal of Medicine and Science of Physical Activity and Sport. 2013;13(50):421-433. doi:10.15366/rimcafd2013.50.007
- Garcia-Alonso M, Block C, Fernández-de-Las-Peñas C. sports Injuries of the foot and the ankle. Physiotherapy. 2015;37(5):295-306. doi:10.1016/j.ft.2015.02.004
