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Lisfranc Fracture Dislocation - Symptoms and Treatment
The Lisfranc injury is named for the French surgeon Jacques Lisfranc in Napoleon's army. This type of injury, which Lisfranc first described, occurred when a horseman fell while riding, having trapped his foot in the stirrup or fell into a drain. At present, such an injury happens typically when one steps into a hole and the foot twists heavily. Falling from a height of two or three stories can also cause this fracture. Football players commonly get this injury when they have their foot pointing down and someone lands on their heel. There are also other ways of receiving such an injury. The Lisfranc fracture normally requires surgery, and should be performed by a surgeon specialized in or, at least, very familiar with foot surgery.
Lisfranc injuries occur at the midfoot, where a cluster of small bones forms an arch on top of the foot between the ankle and the toes. From this cluster, five long bones (metatarsals) extend to the toes. The second metatarsal also extends down into the row of small bones and acts as a stabilizing force. The bones are held in place by connective tissues (ligaments) that stretch both across and down the foot. However, there is no connective tissue holding the first metatarsal to the second metatarsal. A twisting fall can break or shift (dislocate) these bones out of place.
Signs and Symptoms of Lisfranc Fracture Dislocation
Sign and symptoms may include the following :
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