Lisfranc Injury – Fracture – Dislocation

Information from your Foot Surgeon in Orange County – Irvine and Huntington Beach.

Lisfranc joint injuries are often misdiagnosed. Typical signs and symptoms
include pain, edema and the inability to walk. Clinically, these injuries vary
from mild sprains to fracture-dislocations.

X-ray showing diastasis of the normal architecture confirm the presence of
a severe sprain and possible dislocation. Negative standard and weight-bearing
radiographs do not rule out a fracture.

A CT Scan or an MRI is usually needed for better evaluation.

Patients with fractures and fracture-dislocations should have surgical management.

About 20% percent of Lisfranc joint injuries are missed on initial radiographs.

Early diagnosis of a Lisfranc joint injury is imperative for proper management
and the prevention of a poor functional outcome.

Surgical options are either reduction of the fracture or fusion of joints. Age of the patient plays a role in the decision making. The severity of the injury is also an important factor.




Last Updated 1-03-2017