Lisfranc Foot Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Lisfranc Foot Injury, Diagnosis and Treatment and Related Diseases
A Lisfranc injury happens when there are either torn ligaments or broken bones in the mid-foot region of one or both feet.
The mid-foot is the region of the foot that forms the arch, where the forefoot (bones of the toes) and hind-foot (bones including the ankle and heel bone) connect.
The Lisfranc joint complex involves the bones and ligaments that attach the mid-foot and forefoot.
Lisfranc injuries involve ligament strains and tears, and fractures and dislocations of bone
The mid-foot is important in stabilizing the arch and in walking (gait).
During walking, the mid-foot transmits the forces produced by the calf muscles to the front of the foot.
The mid-foot joint complex is also termed the Lisfranc joint.
The mid-foot comprises the Lisfranc joint and the Lisfranc ligament, both of which can be injured in a Lisfranc injury.
These injuries are among the most frequent foot injuries.
They vary from mild to severe, dependent on how the injury happened.
Lisfranc injuries happen if ligaments that support the mid-foot are torn or bones in the mid-foot are broken.
The seriousness of the injury can vary from simple to complex, involving many joints and bones in the mid-foot.
A Lisfranc injury is often incorrectly diagnosed as a simple sprain, particularly if the injury is a result of a straightforward twist and fall.
The injury to the Lisfranc joint is not a simple sprain that can be simply "walked off."
It is a severe injury that may take many months to heal and may need surgery to treat.
Causes
A range of injuries can lead to a Lisfranc fracture.
This injury most often happens when the patient twists the foot while falling.
These injuries can happen with just a twist and fall.
This is a low-energy injury.
It is often visualized in football and soccer players.
It is often observed when someone stumbles over the top of a foot flexed downwards.
More serious injuries happen from direct trauma, such as a fall from a height.
These high-energy injuries can cause multiple fractures and dislocations of the joints.
If the foot is crushed or injured while flexed, the patient may also have this fracture.
This normally produces a mild injury.
The direct trauma can produce an even more serious form of the fracture.
Falling from a great height has been found to produce Lisfranc fractures that need extensive treatment.
The most frequent symptoms of Lisfranc injury are:
1. The top of foot may be swollen and painful.
2. There may be bruising on both the top and bottom of the foot.
3. Bruising on the bottom of the foot is highly indicative of a Lisfranc injury.
4. Pain that becomes worse with standing, walking or trying to push off on the affected foot.
5. The pain can be so serious that crutches may be needed.
If standard treatment for a sprain (rest, ice, elevation) does not alleviate pain and swelling, the patient should consult an orthopedic surgeon
An x-ray also can reveal the alignment of the Lisfranc joint and the presence of fractures.
A mild Lisfranc fracture can often be treated the same way as a simple sprain with ice, rest, and by raising the injured foot.
If there are no fractures or dislocations in the joint and the ligaments are not totally torn, non-surgical treatment may be all that is required for healing.
A non-surgical treatment plan involves wearing a non-weight bearing cast or boot for 6 weeks.
Surgery is advised for all injuries with a fracture in the joints of the mid-foot or with abnormal positioning (sub-luxation) of the joints
Surgery may be internal fixation or bone fusion.
TABLE OF CONTENT
Introduction
Chapter 1 Lisfranc Foot Injury
Chapter 2 Causes
Chapter 3 Symptoms
Chapter
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Lisfranc Foot Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Lisfranc Foot Injury,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2020 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Lisfranc Foot Injury, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Lisfranc Foot Injury)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.
This autobiography account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
My diagnosis and treatment capability has improved tremendously from my continued education.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Lisfranc Injury
What is a Lisfranc Injury?
A Lisfranc injury happens when there are either torn ligaments or broken bones in the mid-foot region of one or both feet.
The mid-foot is the region of the foot that forms the arch, where the forefoot (bones of the toes) and hind-foot (bones including the ankle and heel bone) connect.
The Lisfranc joint complex involves the bones and ligaments that attach the mid-foot and forefoot.
Lisfranc injuries involve ligament strains and tears, and fractures and dislocations of bone
The mid-foot is important in stabilizing the arch and in walking (gait).
During walking, the mid-foot transmits the forces produced by the calf muscles to the front of the foot.
The mid-foot joint complex is also termed the Lisfranc joint.
The mid-foot comprises the Lisfranc joint and the Lisfranc ligament, both of which can be injured in a Lisfranc injury.
These injuries are among the most frequent foot injuries.
They vary from mild to severe, dependent on how the injury happened.
Lisfranc injuries happen if ligaments that support the mid-foot are torn or bones in the mid-foot are broken.
The seriousness of the injury can vary from simple to complex, involving many joints and bones in the mid-foot.
A Lisfranc injury is often incorrectly diagnosed as a simple sprain, particularly if the injury is a result of a straightforward twist and fall.
The injury to the Lisfranc joint is not a simple sprain that can be simply walked off.
It is a severe injury that may take many months to heal and may need surgery to treat.
What are the causes of a Lisfranc injury?
Causes
A range of injuries can lead to a Lisfranc fracture.
This injury most often happens when the patient twists the foot while falling.
These injuries can happen with just